组合式外固定架与克氏针固定儿童胫骨远侧干骺端骨折

发布时间：2018-02-21 16:55

本文关键词： 胫骨骨折固定术外固定架克氏针儿童　出处：《中国矫形外科杂志》2017年20期 　论文类型：期刊论文

【摘要】：[目的]比较组合式外固定架与克氏针固定治疗儿童胫骨远侧干骺端骨折的临床效果。[方法]回顾性分析本科2010年1月~2016年6月收治的52例儿童胫骨远侧干骺端骨折患者的临床资料,男28例,女24例,年龄3.5~14岁,平均8.5岁,受伤至手术时间1~11 d,平均3.6 d;骨折复位后采用组合式外固定架固定20例,克氏针固定32例,两组在性别、年龄、受伤至手术时间上比较差异无统计学意义(P0.05),对两组患儿的骨折闭合复位成功率、手术时间、骨折愈合时间、术后并发症以及术后3、6、12个月踝关节评分进行比较,结果进行统计学分析。[结果]所有患儿均获随访,随访时间9~42个月,平均23.2个月。两组患儿的骨折愈合时间、术后并发症和术后6、12个月踝关节评分比较差异无统计学意义(P0.05);在骨折闭合复位成功率、手术时间和术后3个月踝关节评分比较,组合式外固定架组明显优于克氏针组,差异有统计学意义(P0.05)。[结论]儿童胫骨远侧干骺端骨折,特别是邻近骺板处的骨折在手术时可选用的固定方法有限,采用组合式外固定架和克氏针固定治疗均可获得满意的效果,但组合式外固定架可提高骨折闭合复位成功率,节约手术时间,减少对胫骨远侧骺板的损伤,利于早期踝关节功能锻炼。
[Abstract]:[objective] to compare the clinical effects of combined external fixation and Kirschner's needle fixation in the treatment of distal metaphyseal fractures of tibia in children. [methods] 52 cases of children with distal tibial metaphyseal fractures from January 2010 to June 2016 were retrospectively analyzed. Clinical data of fracture patients, There were 28 males and 24 females, aged 3.514 years (mean 8.5 years), the average time from injury to operation was 1: 11 days (mean 3.6 days), 20 cases were fixed with combined external fixator after fracture reduction, 32 cases were fixed with Kirschner's needle, the two groups were treated with sex and age. There was no significant difference in the time between injury and operation (P 0.05). The success rate of closed reduction, the time of operation, the time of fracture healing, the postoperative complications and the scores of ankle joint at 3 and 12 months after operation were compared between the two groups. Results all the children were followed up for 9 ~ 42 months (mean 23.2 months). There was no significant difference between the postoperative complications and the ankle score at 6 and 12 months after operation (P 0.05). The combined external fixator group was significantly better than the Kirschner needle group in the success rate of closed reduction of fracture, the operative time and the ankle joint score at 3 months after operation. The difference was statistically significant (P 0.05). [conclusion] in children with distal tibial metaphyseal fracture, especially the fracture adjacent to epiphyseal plate, the available fixation methods are limited, and the combined external fixator and Kirschner's needle fixation can achieve satisfactory results. But the combined external fixator can improve the success rate of closed reduction of fracture, save the operation time, reduce the injury to the distal tibial epiphyseal plate, and benefit to the early functional exercise of ankle joint.
【作者单位】：遵义医学院附属医院小儿骨科;
【分类号】：R726.8

【相似文献】