摘要
目的研究小儿肱骨髁上骨折治疗中交叉克氏针内固定的应用效果。方法选取2016年1月至2017年1月我院收治的64例肱骨髁上骨折患儿,按照治疗方式分为对照组和研究组,各32例。对照组采用手法复位石膏外固定疗法,研究组采用手术切开复位交叉克氏针内固定。比较两组患儿的临床效果。结果与对照组比较,研究组肘关节屈伸功能优良率更高,骨折愈合时间明显更短,差异均具有统计学意义(P<0.05)。治疗前,两组患儿的VAS评分比较,差异无统计学意义(P>0.05);治疗后,两组患儿VAS评分均降低,且研究组VAS评分更低,差异均具有统计学意义(P<0.05)。结论小儿肱骨髁上骨折治疗中交叉克氏针内固定疗法的应用效果显著,可进一步促进患儿的肘关节屈伸功能恢复,缩短骨折愈合时间,减轻疼痛,值得临床推广运用。
Objective To study the application effect of cross Kirschner pin internal fixation in the treatment of pediatric supracondylar humeral fractures. Methods A total of 64 children with pediatric supracondylar humeral fractures admitted in our hospital from January 2016 to January 2017 were selected and divided into control group and study group according to different treatment methods, with 32 cases in each group. The control group was treated with manual reduction and plaster external fixation, and the study group was given open reduction and cross Kirschner pin internal fixation. The clinical effects were compared between the two groups. Results Compared with the control group, the study group has higher excellent and good rate of flexion and extension function of the elbow joint and shorter fracture healing time, the differences were statistically significant（P 〈0.05）. Before treatment, there was no significant difference in the VAS scores between the two groups（P〉0.05）. After treatment, the VAS scores in the two groups decreased, and the VAS score in the study group was lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion The cross Kirschner pin internal fixation in the treatment of pediatric supracondylar humeral fractures has significant application effect. It can further promote the elbow flexion and extension function recovery, shorten the healing time and reduce pain, which is worthy of popularization and application.
作者
王飞
史会明
胡远军
WANG Fei, SHI Hui-ming, HU Yuan-jun(Traumatic Orthopedics Department, Hanzhong Central Hospital, Hanzhong 723000, China)
出处
《临床医学研究与实践》
2018年第19期69-70,共2页
Clinical Research and Practice
关键词
小儿肱骨髁上骨折
交叉克氏针内固定
手术切开复位
pediatric supracondylar humeral fractures
cross Kirschner pin internal fixation
open reduction
