[1]王浩然,仲肇平,陈秋.GartlandⅡ型儿童肱骨髁上骨折治疗方式分析[J].中国中医骨伤科杂志,2015,23(06):32-34.
　WANG Haoran,ZHONG Zhaoping,CHEN Qiu.The Comparison of Three Treatment Methods for GartlandⅡ Humeral Supracondylar Fracture in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(06):32-34.
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GartlandⅡ型儿童肱骨髁上骨折治疗方式分析
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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06期
页码:
32-34
栏目:
临床研究
出版日期:
2015-06-15

文章信息/Info

Title:
The Comparison of Three Treatment Methods for GartlandⅡ Humeral Supracondylar Fracture in Children
文章编号:
1005-0205(2015)06-0032-03
作者:
王浩然1;  仲肇平1;  陈秋2
1.浙江省宁波市第六医院小儿骨科(浙江 宁波,315040)
2.上海交通大学附属新华医院小儿骨科
Author(s):
WANG Haoran1;  ZHONG Zhaoping1;  CHEN Qiu2
1. Department of Pediatric Orthopedics,the Sixth Hospital of Ningbo City,Ningbo 315040,Zhejiang China
2. Department of Pediatric Orthopedics,Xinhua Hospital Affiliated to Shanghai Jiaotong University
关键词:
儿童;  肱骨髁上骨折;  治疗;  预后
Keywords:
children;  humeral supracondylar fracture;  therapy;  prognosis
分类号:
R683.41
文献标志码:
A
摘要:
目的:探讨儿童GartlandⅡ型肱骨髁上骨折的治疗策略。方法:回顾我院2005年1月-2011年12月入院治疗并得到随访的儿童GartlandⅡ型肱骨髁上骨折93例(6～12岁),按治疗方式分组,参照Flynn肘部骨折疗效评定标准,比较闭合复位石膏外固定、闭合复位内固定及切开复位内固定3种治疗方法对该骨折预后的影响。结果:93例患者中:闭合复位组20例,85%(17/20)的患者治疗效果优良。闭合复位内固定组55例及切开复位内固定组18例均取得了100%的治疗优良率。在预后的比较上:闭合复位内固定组与闭合复位石膏外固定组比较(P=0.003<0.05)差异有统计学意义,闭合复位组与切开复位组比较差异无统计学意义(P=0.091>0.05)。内固定方式上2枚克氏针与3枚克氏针固定全部取得了优良的结果。结论:“闭合复位经皮外侧2枚克氏针内固定辅以石膏外固定”是GartlandⅡ型儿童肱骨髁上骨折治疗的首选方法。
Abstract:
Objective:To discuss the therapy option and prognosis for GartlandⅡhumeral supracondylar fracture in children.Methods:According to Flynn criteria,93 patients of GartlandⅡhumeral supracondylar fracture were followed up from January 2005 to December 2011,comparing the influence of the prognosis by type of reduction and fixation of the fracture.Results:According to Flynn criteria,in the closed reduction group(CR),the good-excellent rate was 85%.In the closed reduction internal fixation group(CRIF)and open reduction internal fixation group(ORIF),the good-excellent rates were 100%.The prognosis of CRIF group is better than that of CR group(P=0.003).No especial difference had been found between ORIF and CR group(P=0.091)and also no difference between the three and two Kirschner wires fixation group.Conclusion:Closed reduction and internal fixation with two lateral Kirschner wires is the better choice for the treatment of GartlandⅡfracture in children.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2014-12-05
更新日期/Last Update: 2015-06-10