闭合复位经皮克氏针内固定治疗儿童伸直尺偏型肱骨髁上骨折86例分析

发布时间：2018-06-18 19:15

本文选题：闭合复位 + 经皮克氏针内固定　；参考：《中国矫形外科杂志》2017年20期

【摘要】：[目的]探讨闭合复位经皮克氏针内固定治疗儿童伸直尺偏型肱骨髁上骨折的临床疗效。[方法]选择本院2015年3月~2016年2月收治的86例伸直尺偏型肱骨髁上骨折患儿,均给予闭合复位经皮克氏针内固定。术后统计患儿手术总时间、术中出血量以及骨折愈合情况,术前、末次随访对疼痛视觉模拟评分(VAS)作出评价,术后采用Flynn肘功能评分标准评估关节功能恢复情况,并观察术后有无Volkmann挛缩、肘内翻、针孔感染、尺神经损伤等并发症发生。[结果]术后切口均一期愈合,1例患肢出现针孔感染,经过及时治疗感染治愈,术后随访1年,随访期内克氏针无松动。末次随访VAS评分为(2.04±0.93)分,明显低于术前的(5.30±2.27)分(P0.05);根据Flynn肘功能评分标准,术后优80例(93.02%)、良4例(4.65%)、可2例(2.32%);治疗总体满意率96.51%(83/86)。[结论]闭合复位经皮克氏针内固定治疗儿童伸直尺偏型肱骨髁上骨折,固定可靠,骨折愈合快,临床效果好,对患儿伤害小,是治疗儿童肱骨髁上骨折的有效方法。
[Abstract]:[Objective] to explore the clinical effect of closed reduction and percutaneous Kirschner pin internal fixation for the treatment of supracondylar fracture of the humerus of children. [Methods] 86 cases of supracondylar fracture of the extensor type humerus treated in our hospital in February ~2016 March 2015 were treated with closed reduction and percutaneous Kirschner pin internal fixation. The blood volume and fracture healing were evaluated before and after the last follow-up. The recovery of joint function was evaluated by Flynn elbow function score standard after operation, and the complications such as Volkmann contracture, elbow varus, pinhole infection and ulnar nerve injury were observed after operation. [results] 1 cases were healed in 1 cases. The affected limbs were infected with pinhole, after a timely treatment of infection, after 1 years of follow-up, no loosening of the Kirschner's needles in the follow-up period. The last follow-up VAS score was (2.04 + 0.93) scores, obviously lower than (5.30 + 2.27) points (P0.05). According to the Flynn elbow function score standard, 80 cases (4.65%), good 4 cases (4.65%), 2 cases (2.32%), and the total satisfaction rate 96.5. 1% (83/86). [Conclusion] closed reduction and percutaneous Kirschner pin internal fixation for the treatment of supracondylar fracture of the humeral supracondylar type of children is reliable, fast healing, good clinical effect and small injury to the children. It is an effective method for the treatment of supracondylar fracture of the humerus in children.
【作者单位】：青岛市妇女儿童医院小儿骨科;
【分类号】：R726.8

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