[1]宫伟,王建嗣△,李炳钻,等.儿童胫骨远端干骺交界区骨折两种微创手术的疗效比较[J].中国中医骨伤科杂志,2022,30(11):19-22.
　GONG Wei,WANG Jiansi,LI Bingzuan,et al.Clinical Efficacy Comparison of Two Kinds of Minimally Invasive Surgery on the Treatment Distal Tibial Metaphysis-Diaphyseal Junction Fractures in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(11):19-22.
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儿童胫骨远端干骺交界区骨折两种微创手术的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年11期
页码:
19-22
栏目:
临床研究
出版日期:
2022-11-15

文章信息/Info

Title:
Clinical Efficacy Comparison of Two Kinds of Minimally Invasive Surgery on the Treatment Distal Tibial Metaphysis-Diaphyseal Junction Fractures in Children
文章编号:
1005-0205(2022)11-0019-04
作者:
宫伟1; 王建嗣1△; 李炳钻1; 蔡秀英1; 叶萍萍1
1福建中医药大学附属泉州市正骨医院小儿骨科(福建 泉州,362000)
Author(s):
GONG Wei1; WANG Jiansi1△; LI Bingzuan1; CAI Xiuying1; YE Pingping1
1Department of Pediatric Orthopaedics, Quanzhou Orthopaedic-Traumatological Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Quanzhou 362000, Fujian China.
关键词:
胫骨骨折;  干骺端;  骨折内固定术;  弹性髓内钉;  克氏针;  儿童
Keywords:
tibia fracture;  metaphyseal fracture;  internal fixation;  titanium elastic nails;  Kirschner wire;  children
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨弹性髓内钉与克氏针内固定治疗儿童胫骨远端干骺交界区骨折的临床疗效。方法:选取2018年3月至2022年3月微创手术治疗的60例儿童胫骨远端干骺交界区骨折患儿,根据内固定方式不同分为两组,对照组中30例采用闭合复位克氏针内固定,治疗组中30例采用闭合复位弹性髓内钉内固定,比较两组的临床疗效。结果:两组60例患儿均完成随访,其手术时间、骨折愈合时间以及随访时间,两组差异无统计学意义(P>0.05)。两组术后踝关节功能的优良率差异无统计学意义(P>0.05)。术后并发症情况:对照组中针道感染1例,骨折周围浅表创面感染1例,针道炎症反应4例,小于1.0 cm的患肢过度生长2例; 治疗组中术后出现骨折对位不良1例,小于1.5 cm的患肢过度生长1例,两组差异有统计学意义(P<0.05)。结论:弹性髓内钉内固定治疗儿童胫骨远端干骺交界区骨折,与克氏针内固定治疗均取得了好的疗效,但弹性髓内钉能最大程度地减少骨折周围软组织的损伤,并发症更少。
Abstract:
Objective:To compare the clinical efficacy of titanium elastic nails versus Kirschner wire on the treatment of distal tibial metaphysis-diaphyseal junction fractures in children.Methods:60 cases of distal tibial metaphysis-diaphyseal junction fractures in children were treated surgically from March 2018 to March 2022.According to different fixation methods, they were divided into two groups.30 cases in the control group were treated with closed reduction and Kirschner wire internal fixation, while 30 cases in the treatment group were treated with closed reduction and titanium elastic nails internal fixation.The clinical efficacy of the two groups were compared.Results:All of the 60 children were followed up.There was no significant difference in operation time, fracture healing time and follow-up time between the two groups(P>0.05).There was no significant difference between the two groups in excellent rate of postoperative ankle function(P>0.05).Postoperative complications: In the control group, there was 1 case of screw tract infection, 1 case of superficial wound infection around the fracture, 4 cases of screws tract inflammation, and 2 cases of overgrowth of the affected limb less than 1.0 cm.In the treatment group, there was one case of poor alignment of fracture and one case of overgrowth of affected limb less than 1.5 cm after operation.There was statistical significance between the two groups(P<0.05).Conclusion:Titanium elastic nails has the same efficacy as Kirschner wire internal fixation on the treatment of distal tibial metaphysis-diaphyseal junction fractures in children.However, Titanium elastic nails can reduce the injury of soft tissue around fracture and reduce complications.

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备注/Memo

备注/Memo:
基金项目:福建中医药大学2020年校管课题临床专项(XB2020131) △通信作者 E-mail:wjsqzzg@163.com
更新日期/Last Update: 2022-11-10