| 闭合复位桡侧平行克氏针固定治疗GartlandⅢ型儿童肱骨髁上骨折 |
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Received:May 14, 2020
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| 期刊信息：《中国骨伤》2020年33卷，第10期，第960-964页 |
| DOI：10.12200/j.issn.1003-0034.2020.10.014 |
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目的：探讨闭合复位桡侧平行克氏针固定治疗GartlandⅢ型儿童肱骨髁上骨折的临床疗效。
方法：自2015年5月至2019年10月，采用闭合复位桡侧平行克氏针固定法治疗72例GartlandⅢ型儿童伸直型肱骨髁上骨折患儿，其中男52例，女20例；年龄3～10（5.4±1.3）岁；GartlandⅢA型39例，GartlandⅢB型33例。观察患儿的手术时间、骨折临床愈合时间及功能锻炼时间，并采用Flynn肘关节评定标准进行临床疗效评价。
结果：72例患儿均获得随访，时间2～6（3.5±1.4）个月。手术时间25～90（37.8±10.4）min，骨折临床愈合时间28～45（38.8±9.4）d，功能锻炼时间22～60（36.9±11.2）d。术后未出现肘内外翻畸形、医源性神经血管损伤、复位丢失、骨筋膜室综合征、感染等并发症。采用Flynn肘关节评定标准评估疗效：优60例，良10例，可2例。
结论：采用闭合复位桡侧平行克氏针固定治疗GartlandⅢ型儿童肱骨髁上骨折具有微创治疗，固定可靠，手术时间短，内固定物取出简单，并发症少等优势。 |
| [关键词]:肱骨骨折 儿童 骨折闭合复位 骨折固定术 |
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| Closed reduction and radial parallel Kirschner wire internal fixation for the treatment of Gartland Ⅲ supracondylar fracture of humerus in children |
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Abstract:
Objective: To investigate clinical effect of closed reduction and radial parallel Kirschner wire internal fixation in treating Gartland Ⅲ supracondylar fracture of humerus in children.
Methods: From May 2015 to October 2019,72 children with Gartland Ⅲ supracondylar fracture of humerus were treated by closed reduction and radial parallel Kirschner wire internal fixation,including 52 males and 20 females,aged from 3 to 10 years old with an average of(5.4±1.3) years old;39 patients classified to Gartland ⅢA and 33 patients classified to Gartland Ⅲ B. Operation time,fracture healing time,and functional exercise time were observed,Flynn elbow joint function score was used to evaluate clinical effects.
Results: All patients were followed up from 2 to 6 months with an average of (3.5±1.4) months. Operation time was 25~90 (37.8±10.4) min,fracture healing time was 28~45(38.8±9.4) days,functional exercise time was 22~60(36.9±11.2) days. No cubitus varus,iatrogenic neurovascular injury,reduction loss,compartment syndrome,infection or other complications occurred. According to Flynn elbow joint function score,60 patients got excellent results,10 good and 2 fair.
Conclusion: Closed reduction and radial parallel Kirschner wire internal fixation in treating Gartland Ⅲ supracondylar fracture of humerus in children has advantages of minimally invasive,stable fixation,shorter operation time,easy to remove internal fixation,and less complications. |
| KEYWORDS:Humeral fractures Child Closed fracture reduction Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 田野.闭合复位桡侧平行克氏针固定治疗GartlandⅢ型儿童肱骨髁上骨折[J].中国骨伤,2020,33(10):960~964 |
| 英文格式: | TIAN Ye.Closed reduction and radial parallel Kirschner wire internal fixation for the treatment of Gartland Ⅲ supracondylar fracture of humerus in children[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(10):960~964 |
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