摘要
目的探讨微创小切口辅助复位经皮克氏针固定治疗小儿GartlandⅢ型肱骨髁上骨折的临床效果。方法选取2019年1月至2023年1月费县人民医院骨三科收治的74例GartlandⅢ型肱骨髁上骨折患儿作为研究对象,按照奇偶数分组法分为参照组(37例)与试验组(37例)。参照组采用闭合复位克氏针固定,试验组采用微创小切口辅助复位经皮克氏针固定。比较两组手术时间、住院时间、骨折愈合情况及肘关节功能。结果试验组手术时间、住院时间、临床愈合时间及骨折愈合时间均短于参照组(P<0.05)。试验组肘关节功能优良率高于参照组(P<0.05)。结论微创小切口辅助复位经皮克氏针固定治疗小儿GartlandⅢ型肱骨髁上骨折可缩短手术时间、住院时间、临床愈合时间及骨折愈合时间,显著改善肘关节功能。
Objective To investigate the clinical effect of minimally invasive small incision assisted reduction and percutaneous pinning in the treatment of Gartland typeⅢsupracondylar humeral fractures in children.Methods A total of 74 children with Gartland typeⅢsupracondylar humeral fractures admitted to the Third Department of Orthopedics of Fei County People’s Hospital from January 2019 to January 2023 were selected as t he study objects,and were divided into the reference group(37 cases)and the experimental group(37 cases)according to odd-even grouping method.The reference group used closed reduction and percutaneous pinning,and the experimental group used minimally invasive small incision assisted reduction and percutaneous pinning.Operation time,hospital stay,fracture healing and elbow joint function were compared between the two groups.Results The operation time,hospital stay,clinical healing time and fracture healing time of the experimental group were shorter than those of the reference group(P<0.05).The excellent and good rate of elbow joint function in the experimental group was higher than that in the reference group(P<0.05).Conclusion Minimally invasive small incision assisted reduction and percutaneous pinning in the treatment of Gartland typeⅢsupracondylar humeral fractures in children can shorten the operation time,hospital stay,clinical healing time and fracture healing time,and significantly improve the elbow joint function.
作者
郭涛
GUO Tao(The Third Department of Orthopedics,Fei County People’s Hospital,Shandong Province,Linyi 273400,China)
出处
《妇儿健康导刊》
2024年第3期68-70,77,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
肱骨髁上骨折
GartlandⅢ型
微创小切口辅助复位经皮克氏针固定
Supracondylar humeral fracture
Gartland typeⅢ
Minimally invasive small incision assisted reduction and percutaneous pinning
