[1]陈明,李城,郭利俊,等.富阳张氏手法复位夹板外固定治疗儿童肱骨髁上骨折60例[J].中国中医骨伤科杂志,2022,30(12):50-53.
　CHEN Ming,LI Cheng,GUO Lijun,et al.60 Cases on Fuyang Zhang's Manipulative Reduction Combined with Splint External Fixation on the Treatment of Supracondylar Fractures of Humerus in Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(12):50-53.
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富阳张氏手法复位夹板外固定治疗儿童肱骨髁上骨折60例()
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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12期
页码:
50-53
栏目:
临床报道
出版日期:
2022-12-15

文章信息/Info

Title:
60 Cases on Fuyang Zhang's Manipulative Reduction Combined with Splint External Fixation on the Treatment of Supracondylar Fractures of Humerus in Children
文章编号:
1005-0205(2022)12-0050-04
作者:
陈明1; 李城1; 郭利俊1; 金彩平1; 李梦英1
1杭州市富阳中医骨伤医院手足外科(杭州,311400)
Author(s):
CHEN Ming1; LI Cheng1; GUO Lijun1; JIN Caiping1; LI Mengying1
1Department of Hand and Foot Surgery, Hangzhou Fuyang Traditional Chinese Medicine Orthopedics Hospital, Hangzhou 311400,China.
关键词:
富阳张氏手法复位;  肱骨髁上骨折;  儿童;  杉树皮小夹板外固定;  临床疗效
Keywords:
Fuyang Zhang's manipulative reduction;  supracondylar fracture of humerus;  children;  external fixation with fir bark splint;  clinical efficacy
分类号:
R683.41
文献标志码:
B
摘要:
目的:探讨富阳张氏骨折手法复位杉树皮小夹板外固定治疗儿童肱骨髁上骨折的临床疗效。方法:回顾性选取2018年5月至2021年5月收治的60例Gartland Ⅱ型肱骨髁上骨折患儿,男39例,女21例; 年龄为2～12岁,平均为(7.39±2.18)岁; 致伤原因为车祸伤24例,摔伤16例,坠落伤9例,击打伤11例; 均行闭合富阳张氏骨伤手法复位杉树皮小夹板外固定治疗,观察其临床疗效、骨折愈合时间及并发症发生情况。结果:60例患儿均获得随访,末次随访时间为6个月～1年,平均为8.5个月。手法复位及夹板外固定治疗后,有5例患儿发生复位丢失,复位丢失率为8.33%,均行再次手法复位及夹板外固定后无复位丢失。手法复位及夹板外固定后1周内,有1例患儿出现肘关节僵硬,无肘外翻、肘内翻、Volkmann挛缩、医源性血管及神经损伤等并发症。随访期间所有患儿骨折均获得骨性痊愈,骨折愈合时间为21～45 d,平均为(29.65±4.12)d。治疗后1个月经疗效评估,优54例,良2例,优良率为93.33%(56/60)。结论:富阳张氏骨伤手法复位杉树皮小夹板外固定是治疗Gartland Ⅱ型儿童肱骨髁上的有效方法,具有固定可靠、骨折愈合快、经济、安全等优点,值得在基层医院推广应用。
Abstract:
Objective:To investigate the clinical efficacy of Fuyang Zhang's fracture manipulation reduction combined with fir bark small splint external fixation on the treatment of supracondylar humerus fractures in children.Methods:A total of 60 children with Gartland type Ⅱ humeral supracondylar fractures from May 2018 to May 2021 were retrospectively selected, including 39 males and 21 females, aged from 2 to 12 years old, with(7.39±2.18)years old on average. The cause of injury was car accident injury in 24 cases, fall injury in 16 cases, fall injury in 9 cases and blow injury in 11 cases, all cases underwent closed Fuyang Zhang's orthopedic manipulation reduction combined with external fixation with fir bark small splint. The clinical efficacy, fracture healing time and complications were observed.Results:All 60 children were followed up, and the last follow-up time was 6 months to 1 year, with 8.5 months on average. After manual reduction and external fixation, there were loss of reduction in 5 children, with the rate of loss of reduction of 8.33%, and no loss of reduction occurred after manual reduction again and external fixation. Within 1 week after the operation, 1 patient developed elbow stiffness, and no complications such as cubitus valgus, cubitus varus, Volkmann's contracture, iatrogenic vascular and nerve injury occurred. During the follow-up period, all children's fractures achieved bone healing, and the fracture healing time was 21 to 45 d, with(29.65±4.12)d on average. At 1 month after treatment, 54 cases were evaluated as excellent and 2 as good, with an excellent and good rate of 93.33%(56/60).Conclusion:Fuyang Zhang's orthopaedic manipulation reduction and external fixation with fir bark small splint is an effective method on the treatment of Gartland II children with supracondylar humerus.

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更新日期/Last Update: 2022-12-10