双侧接骨板修复复杂肱骨髁间骨折疗效分析研究

发布时间：2018-07-07 20:03

本文选题：肱骨 + 肱骨骨折　；参考：《中国矫形外科杂志》2017年08期

【摘要】：[目的]探讨双侧接骨板治疗复杂肱骨髁间骨折的临床效果。[方法]纳入67例复杂肱骨髁间骨折患者,随机分为两组,接骨板组32例,克氏针组35例,分别实施双侧接骨板修复治疗与克氏针内固定治疗。术后随访12个月,观察肘关节功能恢复情况、肘关节活动度变化以及不良反应和并发症发生情况。[结果]接骨板组的手术时间显著长于克氏针组,但术后骨折愈合时间显著短于克氏针组,P0.05。术后随访12个月,接骨板组的肘关节功能优良率为90.63%,显著高于克氏针组的77.14%,P0.05。术后1、6、12个月对两组肘关节活动度进行评估,术后不同时间,两组的肘关节活动度均显著高于本组术前,P0.05;且术后不同时间组间比较,接骨板组活动度均显著大于克氏针组,P0.05。两组的术后不良反应发生率,克氏针组显著高于接骨板组,P0.05。[结论]较克氏针内固定治疗,双侧接骨板修复治疗复杂肱骨髁间骨折可以获得更好的临床修复效果,促进患者肘关节功能和活动度的提高,并减少不良反应的出现。
[Abstract]:[objective] to investigate the clinical effect of bilateral plate in the treatment of complex humeral intercondylar fracture. [methods] Sixty-seven patients with complex humeral intercondylar fracture were randomly divided into two groups: the plate group (n = 32) and Kirschner needle group (n = 35). After 12 months of follow-up, the recovery of elbow function, the changes of elbow motion, adverse reactions and complications were observed. [results] the operative time in the plate group was significantly longer than that in the Kirschner needle group, but the fracture healing time was significantly shorter in the Yu Ke needle group (P 0.05). After 12 months follow-up, the excellent and good rate of elbow joint function in the plate group was 90.63, which was significantly higher than that in the Kirschner needle group (77.14 and P 0.05). The elbow motion of the two groups was evaluated at 6 and 12 months postoperatively. At different time after operation, the motion of elbow joint in the two groups was significantly higher than that in the preoperative group (P 0.05), and that in the plate group was significantly higher than that in the Kirschner needle group (P 0.05). The incidence of postoperative adverse reactions in the two groups was significantly higher in the Kirschner needle group than in the plate group (P 0.05). [conclusion] compared with Kirschner wire internal fixation, bilateral plate repair for complex humeral intercondylar fracture can obtain better clinical repair effect, promote the function and mobility of elbow joint, and reduce the occurrence of adverse reactions.
【作者单位】：河北衡水市人民医院骨三科;
【分类号】：R687.3

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