Clinical Effect of Closed Reduction Percutaneous Kirschner Wire and Plaster Fixation in the Treatment of Salter-Harris Type Ⅰ/Ⅱ Epiphyseal Fractures of the Distal Radius in Children
Objective:To study the clinical effect of closed reduction percutaneous Kirschner wire and plaster fixation in the treatment of Salter-Harris type Ⅰ/Ⅱ epiphyseal fractures of the distal radius in children.Method:A total of 86 children with Salter-Harris type Ⅰ/Ⅱ epiphyseal fractures of the distal radius admitted to the First Affiliated Hospital of Xiamen University from September 2017 to June 2023 were selected as the study subjects,they were divided into two groups according to the random number table method.43 cases in the control group received conventional closed reduction combined with plaster fixation treatment;43 cases in the observation group received closed reduction and percutaneous Kirschner wire combined with plaster fixation treatment.The clinical outcomes,degree of pain,wrist joint function,incidence of complications,fracture healing time,and fixation removal time between the two groups were compared.Result:The total clinical effective rate of the observation group was 97.67%,which was higher than 81.40%in the control group(P<0.05).Before treatment,the pain degree of the fracture site was basically the same between the two groups,there was no statistical significance(P>0.05);however,the pain scores of the observation group 48 h after treatment and 1 week after discharge were lower than those of the control group(P<0.05).There was no significant difference in the patient-rated wrist evaluation(PRWE)scores between the two groups before treatment(P>0.05);after treatment,the PRWE score of the observation group was(47.32±6.18)points,and that of the control group was(48.62±6.34)points,with no statistical significance(P>0.05).The number of complications in the observation group was 1 case,accounting for 2.33%,while the number of complications in the control group was 9 cases,accounting for 20.94%,the difference between the two groups was statistically significant(P<0.05).The fracture healing time of observation group was shorter than that of control group,and the fixation removal time was earlier than that of control group(P<0.05).Conclusion:The clinical effect of closed reduction percutaneous Kirschner wire and plaster fixation in the treatment of Salter-Harris type Ⅰ/Ⅱepiphyseal fractures of the distal radius in children is good,effectively relieving pain,reducing the incidence of complications,shortening fracture healing time and fixation removal time.
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维普
