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[1]吳博,季衛(wèi)平,王波,等.AO克氏針張力帶與髕骨針張力帶內(nèi)固定治療兒童GartlandⅢ型肱骨髁上骨折的對比研究…[J].中醫(yī)正骨,2017,29(12):34-37.
　WU Bo,JI Weiping,WANG Bo,et al.A comparative study of internal fixation with AO Kirschner wire tension band versus patella needle tension band for treatment of Gartland typeⅢhumeral supracondylar fractures in children[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):34-37.
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AO克氏針張力帶與髕骨針張力帶內(nèi)固定治療兒童GartlandⅢ型肱骨髁上骨折的對比研究…()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年12期
頁碼:
34-37
欄目:
臨床研究
出版日期:
2017-12-20

文章信息/Info

Title:
A comparative study of internal fixation with AO Kirschner wire tension band versus patella needle tension band for treatment of Gartland typeⅢhumeral supracondylar fractures in children
作者:
吳博; 季衛(wèi)平; 王波; 許超
浙江省麗水市人民醫(yī)院,浙江 麗水 323000
Author(s):
WU Bo; JI Weiping; WANG Bo; XU Chao
The People's Hospital of Lishui City,Lishui 323000,Zhejiang,China
關(guān)鍵詞:
肱骨骨折;  骨折固定術(shù); 內(nèi);  兒童
Keywords:
Key words humeral fractures;  fracture fixation; internal;  child
摘要:
目的:比較AO克氏針張力帶與髕骨針張力帶內(nèi)固定治療兒童GartlandⅢ型肱骨髁上骨折的臨床療效。方法:回顧性分析41例兒童GartlandⅢ型肱骨髁上骨折患者的病例資料,其中18例采用AO克氏針張力帶內(nèi)固定(克氏針組)、23例采用髕骨針張力帶內(nèi)固定(髕骨針組)。男26例,女15例。年齡4～12歲,中位數(shù)7歲。比較2組患者的手術(shù)時間、術(shù)中出血量、術(shù)后住院時間、骨折愈合時間以及術(shù)后6個月參照Flynn肘關(guān)節(jié)功能評分標準評價的臨床療效。結(jié)果:所有患者均獲隨訪,隨訪時間8～24個月,中位數(shù)18個月。髕骨針組的手術(shù)時間、術(shù)后住院時間、骨折愈合時間均短于克氏針組[(54.35±4.00)min,(63.56±5.39)min,t=2.186,P=0.035;(4.57±1.27)d,(6.06±2.41)d,t=2.375,P=0.026;(52.91±3.86)d,(56.78±5.92)d,t=2.524,P=0.016]; 2組患者的術(shù)中出血量比較,差異無統(tǒng)計學意義[(52.83±7.04)mL,(55.00±7.86)mL,t=0.932,P=0.357]。術(shù)后6個月參照Flynn肘關(guān)節(jié)功能評分標準評價臨床療效,克氏針組優(yōu)10例、良5例、可1例、差2例,髕骨針組優(yōu)14例、良8例、可1例; 2組患者的臨床療效比較,差異無統(tǒng)計學意義(Z=0.630,P=0.471)。結(jié)論:AO克氏針張力帶與髕骨針張力帶內(nèi)固定治療兒童GartlandⅢ型肱骨髁上骨折,臨床療效相當,均可促進肘關(guān)節(jié)功能恢復,但髕骨針張力帶內(nèi)固定具有手術(shù)時間及術(shù)后住院時間短、骨折愈合快的優(yōu)點。
Abstract:
ABSTRACT Objective:To compare the clinical curative effects of internal fixation with AO Kirschner wire tension band versus patella needle tension band in treatment of Gartland typeⅢhumeral supracondylar fractures in children.Methods:The medical records of 41 children with Gartland typeⅢhumeral supracondylar fractures were analyzed retrospectively.Eighteen children were treated with AO Kirschner wire tension band internal fixation(Kirschner wire group),while the others were treated with patella needle tension band internal fixation(patella needle group).The children consisted of 26 boys and 15 girls,and ranged in age from 4 to 12 years(Median=7 yrs).The operative time,intraoperative blood loss,postoperative hospital stay,fracture healing time and clinical curative effects evaluated according to Flynn elbow performance score at 6 months after surgery were compared between the 2 groups.Results:All children in the 2 groups were followed up for 8-24 months with a median of 18 months.The operative time,postoperative hospital stay and fracture healing time were shorter in patella needle group compared to Kirschner wire group(54.35+/-4.00 vs 63.56+/-5.39 min,t=2.186,P=0.035; 4.57+/-1.27 vs 6.06+/-2.41 days,t=2.375,P=0.026; 52.91+/-3.86 vs 56.78+/-5.92 days,t=2.524,P=0.016).There was no statistical difference in intraoperative blood loss between the 2 groups(52.83+/-7.04 vs 55.00+/-7.86 ml,t=0.932,P=0.357).According to Flynn elbow performance scores evaluated at 6 months after surgery,10 children obtained an excellent result,5 good,1 fair and 2 poor in Kirschner wire group; while 14 children obtained an excellent result,8 good and 1 fair in patella needle group; There was no statistical difference in the clinical curative effects between the 2 groups(Z=0.630,P=0.471).Conclusion:Internal fixation with AO Kirschner wire tension band and internal fixation with patella needle tension band are similar to each other in the clinical curative effects in treatment of Gartland typeⅢhumeral supracondylar fractures in children.Both of them can promote the recovery of elbow function,however,the latter has such advantages as shorter operative time and postoperative hospital stay and faster fracture healing.

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更新日期/Last Update: 2018-05-02