儿童桡骨颈骨折撬拨复位后经皮克氏针与弹性髓内钉内固定的效果比较
Comparison on the Effects of Internal Fixation with Percutaneous Kirschner Wire and Flexible Intramedullary Nail After Reduction by Leverage in Children with Radial Neck Fracture
高峰 1王建新 1禹明洋 1邹许亭1
作者信息
- 1. 南阳市中医院 (南阳市骨科医院独山院区) 小儿骨科,河南南阳 473008
- 折叠
摘要
目的 对比撬拨复位后经皮克氏针与弹性髓内钉内固定治疗儿童桡骨颈骨折的临床效果.方法 130 例行撬拨复位内固定的桡骨颈骨折患儿根据内固定方式的不同分为克氏针组和弹性髓内钉组,比较两组的围术期指标、并发症以及肘关节功能.结果 克氏针组的手术时间、术中失血量、住院时间均显著低于弹性髓内钉组(P<0.05).两组的并发症发生率比较,差异无统计学意义(P>0.05).术后 1 个月、3 个月,克氏针组的MEPS评分均显著高于弹性髓内钉组(P<0.05);术后 6 个月,两组的MEPS评分比较,差异无统计学意义(P>0.05).结论 撬拨复位后经皮克氏针与弹性髓内钉内固定治疗桡骨颈骨折患儿均有良好的应用效果,但经皮克氏针可减轻手术创伤,有利于患儿肘关节功能的早期恢复.
Abstract
Objective To compare the clinical effects of internal fixation with percutaneous Kirschner wire and flexible intramedullary nail after reduction by leverage in the treatment of children with radial neck fracture.Methods 130 children with radial neck fracture who underwent reduction by leverage and internal fixation were divided into the Kirschner wire group and the flexible intramedullary nail group according to different internal fixation methods.The perioperative indicators,complications and elbow joint function were compared between the two groups.Results The operation time,intraoperative blood loss amount and hospitalization time of the Kirschner wire group were significantly lower than those of the flexible intramedullary nail group(P<0.05).No significant difference was found in the incidence of complications between the two groups(P>0.05).At 1 month and 3 months after surgery,the MEPS scores of the Kirschner wire group were significantly higher than those of the flexible intramedullary nail group(P<0.05);No significant difference was found in the MEPS score at 6 months after surgery between the two groups(P>0.05).Conclusions Both percutaneous Kirschner wire and flexible intramedullary nail internal fixation after reduction by leverage in the treatment of children with radial neck fracture have good application effect,but percutaneous Kirschner wire can reduce surgical trauma and is conducive to the early recovery of elbow joint function of children.
关键词
克氏针/弹性髓内钉/撬拨复位/桡骨颈骨折/肘关节功能Key words
Kirschner wire/Flexible intramedullary nail/Reduction by leverage/Radial neck fracture/Elbow joint function引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据