| 手法整复经皮穿针治疗儿童GartlandⅢ型肱骨 |
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Received:February 16, 2014
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| 期刊信息：《中国骨伤》2014年27卷，第7期，第583-586页 |
| DOI：10.3969/j.issn.1003-0034.2014.07.012 |
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目的：探讨手法整复经皮闭合穿克氏针内固定治疗儿童Gartland Ⅲ型肱骨髁上骨折的临床疗效。
方法：选择2010年7月至2013年7月儿童Gartland Ⅲ型肱骨髁上骨折患者60例，分为治疗组及对照组。治疗组32例，其中男18例，女14例；年龄5～11岁，平均（7.8±2.7）岁；采用传统“正骨十四法”手法整复经皮闭合穿克氏针固定。对照组28例，其中男16例，女12例；年龄4～12岁，平均（7.2±3.0）岁；采用切开复位克氏针内固定。观察和分析两组在肘关节屈伸活动范围、骨折临床愈合时间和术后6个月Flynm临床功能评定结果。
结果：对照组骨折平均愈合时间（5.01±0.43）周，长于治疗组（4.29±0.29）周（t=7.49，P=0.00）.术后6个月治疗组患者肘关节活动范围（146.02±2.28）°，明显大于对照组（140.76±4.42）°（t=-5.67，P=0.00）.术后6个月Flynn临床功能评定结果，对照组优7例，良16例，可4例，差1例；治疗组优21例，良9例，可2例（U=3.09，P=0.002）.
结论：手法整复闭合穿针法治疗儿童Gartland Ⅲ型肱骨髁上骨折能明显缩短骨折临床愈合时间，临床疗效较好，值得推广。 |
| [关键词]:儿童 肱骨骨折 手法，骨科 病例对照研究 |
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| Case-control study on the treatment of humerus supracondylar fracture of Gartland Ⅲ in children by manipulative reduction and Kirschner wire percataneous internal fixation |
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Abstract:
Objective: To study the clinical effect of the Gartland Ⅲ humerus supracondylar fractures in children by manipulative reduction and Kirschner wire percataneous internal fixation.
Methods: From July 2010 and July 2013,60 patients with Gartland Ⅲ humerus supracondylar fracture were selected and divided into treatment group and control group. In the treatment group 32 patients were treated with traditional bone setting tetradeca-manipulative reduction and percataneous Kirschner wire internal fixation,included 18 males and 14 females with an average age of(7.8±2.7) years old ranging from 5 to 11;in the control group 28 patients were treated with open reduction and Kirschner wire internal fixation,included 16 males and 12 females with an average age of (7.2±3.0) years old ranging from 4 to 12. The motion range of the elbow joint,the time of fracture clinical healing,and the effect after 6 months of Flynm clinical functional assessment standards were observed and compared.
Results: The average fracture healing time of the control group(5.01±0.43) weeks was longer than that of the treatment group(4.29±0.29) weeks(t=7.49,P=0.00). At 6 months after treatment,the elbow motion range of the treatment group (146.02±2.28) was more than that of the control group (140.76±4.42) (t=-5.67,P=0.00). At 6 months after treatment,according to Flynn evaluation,in the control group,there were 7 cases as excellent,16 as good,4 fair,1 poor; in the treatment group,excellent in 21,good in 9,fair in 2 (U=3.09,P=0.002).
Conclusion: Manipulative reduction and Kirschner wire percataneous internal fixation for treatment of children's Gartland Ⅲ humerus condyle fractures can shorten fracture clinical healing time and the clinical curative effect is better. |
| KEYWORDS:Child Humeral fractures Manipulation,orthopedic Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈坤壮,蔡立雄,张宏宁,郭跃明.手法整复经皮穿针治疗儿童GartlandⅢ型肱骨[J].中国骨伤,2014,27(7):583~586 |
| 英文格式: | CHEN Kun-zhuang,CAI Li-xiong,ZHANG Hong-ning,GUO You-ming.Case-control study on the treatment of humerus supracondylar fracture of Gartland Ⅲ in children by manipulative reduction and Kirschner wire percataneous internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(7):583~586 |
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