[1]李盛华,叶丙霖△,王想福,等.手法复位联合肘内翻矫形器外固定治疗伸直型儿童肱骨髁上骨折[J].中国中医骨伤科杂志,2015,23(01):4-6.
　LI Shenghua,YE Binglin,WANG Xiangfu,et al.Clinical Efficacy of Manipulative Reduction Combined with CubitusVarus Orthosis on Extension Type SupracondylarFracture of Humerus in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(01):4-6.
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手法复位联合肘内翻矫形器外固定治疗伸直型儿童肱骨髁上骨折
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年01期
页码:
4-6
栏目:
临床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Clinical Efficacy of Manipulative Reduction Combined with CubitusVarus Orthosis on Extension Type SupracondylarFracture of Humerus in Children
文章编号:
1005-0205(2015)01-0004-03
作者:
李盛华1; 叶丙霖2; 3△; 王想福1; 周明旺1;
1.甘肃省中医院(兰州,730050)
2.甘肃省中医药研究院
3.天津中医药大学
△.通讯作者 E-mail:ybl6123178@126.com
Author(s):
LI Shenghua1; YE Binglin2; 3; WANG Xiangfu1; ZHOU Mingwang1;
1.Gansu Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
2.Gansu Academy of Traditional Chinese Medicine, Lanzhou 730050, China
3.Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
关键词:
伸直型肱骨髁上骨折;  儿童;  肘内翻矫形器
Keywords:
supracondylar fracture of humerus;  children;  cubitus varus orthosis
分类号:
R683.41
文献标志码:
A
摘要:
目的:通过观察手法复位后采用肘内翻矫形器和石膏外固定两种方法治疗伸直型儿童肱骨髁上骨折的临床疗效和肘内翻发生率,来探讨肘内翻矫形器在治疗伸直型儿童肱骨髁上骨折方面的应用效果。方法:将86例伸直型儿童肱骨髁上骨折患者经手法复位后分为观察组和对照组,观察组采用肘内翻矫形器固定,男24例,女21例; 平均年龄(7.43±1.92)岁。对照组采用石膏外固定,男23例,女18例; 平均年龄(7.00±1.54)岁。参照Flynn标准观察治疗后功能及肘内翻发生率。结果:86例患者均获得随诊,随访10个月～1.5年,平均12个月,观察组:优25例、良16例、可3例、差1例,优良率为91.11%; 石膏组:优18例、良15例、可5例、差3例,优良率为80.48%,观察组优良率高于对照组,差异有统计学意义(P<0.05)。两组肘内翻发生率分别为2.22%、12.19%. 结论:两种方法以肘内翻矫形器外固定疗效为佳,具有固定可靠、抗旋转作用强、可调性好、关节功能恢复快、便于临床观察和肘内翻发生率低等特点,值得在临床上推广。
Abstract:
Objective:To observe the clinical efficacy of cubitus varus orthosis and plaster external fixation on extension type supracondylar fracture of humerus in children, and the incidence of cubitus varus in order to discuss the application of cubitus varus orthosis. Methods: All 86 children of extension type supracondylar fracture of humerus were treated by manual reduction and divided into the observation group and the control group. The observation group(male 24 cases, female 21 cases, mean age 7.43 ± 1.92 years)was treated with cubitus varus orthosis fixation, while the control group(male 23 cases, female 18 cases, mean age 7 ± 1.54 years)was treated with the plaster external fixation. The function and incidence of cubitus varus were observed according to the standard of Flynn after the treatment. Results: All 86 patients were followed up for 10 months to 1.5 years, average 12 months. In observation group, the excellent and good rate was 91.11%, excellent in 25 cases, good in 16 cases, mild in 3 cases, and poor in 1 case; In control group, the excellent and good rate was 80.48%, excellent in 18 cases, good in 15 cases, mild in 5 cases, and poor in 3 cases. The excellent and good rate in observation group was higher than control group(P<0.05). The incidence of cubitus varus in observation group was 2.22%, and in control group was 12.19%. Conclusion: The cubitus varus orthosis fixation is better with reliable fixation, strong anti-rotation ability, good adjustability and quick joint function recovery than the plaster external fixation. The cubitus varus orthosis is convenient for clinical observation and worth promoting in clinical practice with lower incidence rate of cubitus varus.

参考文献/References:

[1] 康宇翔,卫小春.儿童肱骨髁上骨折诊断与治疗进展[J].中国矫形外科杂志,2013,21(14):1410-1415.
[2] FLYNN J C, MATTHEW J G, BENOIT R L. Blind pinning of displaced supracondlar Fractures of the hurnerus in children.sixteen year experience with Long-term follow-up[J].J Bone Joint Surg Am,1974,56(2):263-272.
[3] 方洪松,匡嘉兵,李皓桓,等.小儿肱骨髁上骨折治疗的中长期疗效观察[J].中国中医骨伤科杂志,2009,17(4):41-42.
[4] 王敦壮,王晓波.肱骨髁上骨折的治疗进展[J].中国中医骨伤科杂,2009,18(4):65-66.
[5] 青少汀,葛宝丰,徐印坎.实用骨科学[M].北京:人民军医出版社,2005:424.
[6] 冯韬,廖家新,王善付,等.儿童肱骨髁上骨折预防肘内翻研究进展[J].中医学报,2013,28(5):661-662.
[7] 陈跃山,孙秀华,王 波.塑型铝板外固定预防小儿肱骨髁上骨折肘内翻[J].辽宁中药大学学报.2010,12(3):143-144.
[8] 廖世杰,赵劲民,丁晓飞.儿童肱骨髁上骨折的分型与治疗进展[J].中国矫形外科杂志,2012,20(8):714-716.

备注/Memo

备注/Memo:
收稿日期:2014-06-08
基金项目:国家中医药管理局中医药科学技术研究专项项目编号04-05LP43.
更新日期/Last Update: 2015-02-20