[1]周游 刘萌 廖俊城 黄伟恩.闭合复位经皮交叉克氏针不同置针方式固定治疗严重儿童肱骨髁上骨折的疗效比较[J].中国中医骨伤科杂志,2019,27(09):20-24.
　ZHOU You LIU Meng LIAO Juncheng HUANG Weien.Comparison of the Effects of Closed Reduction and Percutaneous Kirschner Wire Fixation for Different Treatments of Supracondylar Fracture of Humerus in Severe Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(09):20-24.
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闭合复位经皮交叉克氏针不同置针方式固定治疗严重儿童肱骨髁上骨折的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年09期
页码:
20-24
栏目:
临床研究
出版日期:
2019-09-08

文章信息/Info

Title:
Comparison of the Effects of Closed Reduction and Percutaneous Kirschner Wire Fixation for Different Treatments of Supracondylar Fracture of Humerus in Severe Children
文章编号:
1005-0205(2019)09-0020-05
作者:
周游1 刘萌2 廖俊城3 黄伟恩3
1广西骨伤医院(南宁,530012) 2广西中医药大学第一附属医院 3广西中医药大学
Author(s):
ZHOU You1 LIU Meng2 LIAO Juncheng3 HUANG Weien3
1Guangxi Orthopedic Hospital,Nanning 530012,China; 2The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China; 3Guangxi University of Chinese Medicine,Nanning 530001,China.
关键词:
儿童肱骨髁上骨折;  置针方式;  闭合复位克氏针内固定;  临床观察
Keywords:
supracondylar humeral fractures in children;  install Kirschner method;  closed reduction Kirschner wire fixation;  clinical observation
分类号:
R683.42
文献标志码:
A
摘要:
目的:比较不同置针方式治疗Gartland Ⅲ型儿童肱骨髁上骨折的临床疗效。方法:回顾性分析2013年1月至2017年3月在科治疗的170例Gartland Ⅲ型肱骨髁上骨折患儿,根据固定方式不同分成A,B,C及D四组:A组,单纯交叉克氏针固定(39例); B组,内侧2枚外侧1枚克氏针固定(44例); C组,外侧2枚内侧1枚克氏针固定(46例); D组,双交叉克氏针固定(41例)。根据患儿最后一次随访时患肢的Flynn评分及HSS评分评定患者的临床疗效。结果:所有患儿均获得随访,时间为6～18个月,根据Flynn评分优良率比较,C组>B组>D组>A组,差异有统计学意义(χ2=8.208,P=0.042)。HSS评分优良率比较,C组>B组>D组>A组,差异有统计学意义(χ2=10.450,P=0.015)。结论:对于儿童肱骨髁上骨折Gartland Ⅲ型,外侧2枚内侧1枚克氏针固定的临床效果优于单纯交叉克氏针固定,与内侧2枚外侧1枚克氏针固定、双交叉克氏针固定效果相当。
Abstract:
Objective:To compare the clinical effects of different Kirschner wire fixation in the treatment of Gartland type Ⅲ supracondylar humeral fractures in children.Methods:Retrospective analysis of 170 cases of Gartland type Ⅲ humeral supracondylar fractures treated in our department from January 2013 to March 2017.According to the different fixation methods,the patients were divided into A group of simple cross kirschner wire fixation(39 cases),B group of 2 inside and 1 outside kirschner wire fixation(44 cases),C group of 2 outside and 1 inside kirschner wire fixation(46 cases),and D group of double cross kirschner wire fixation(41 cases).The Flynn score and HSS scores of the affected limbs at the last follow-up of the four groups were compared and statistically analyzed.Results:All patients were followed-up for 6～18 months.According to the excellent rate of Flynn score,group C>group B>group D>group A,the difference were statistically significant(H=8.208,P=0.042).According to the excellent rate of HSS score,group C>group B>group D>group A,the difference were statistically significant(H=10.450,P=0.015).Conclusion:For Gartland type Ⅲ supracondylar humeral fractures in children,2 outside and 1 inside kirschner wire fixation Can achieve better clinical outcome than that of simple crossed Kirschner wire fixation.and the 2 inside and 1 outside kirschner wire fixation double cross kirschner wire fixation is equivalent.

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备注/Memo

备注/Memo:
(收稿日期:2019-04-01)
更新日期/Last Update: 2019-09-08