单人手法整复联合经皮克氏针内固定治疗GartlandⅢ型儿童肱骨髁上骨折的效果

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中文摘要：目的:探讨通过单人手法整复结合经皮克氏针内固定治疗闭合性GartlandⅢ型儿童肱骨髁上骨折的临床效果。方法:选取 2022 年 1 月—2023 年 5 月罗定市中医院 36 例GartlandⅢ型肱骨髁上骨折患儿，均采用单人手法整复联合经皮克氏针内固定。观察并记录患儿的手术时间、住院时间、骨折愈合时间、肘关节活动度、前臂活动度及并发症。末次随访时采用Flynn肘关节评分标准评价临床疗效。结果:36 例患儿手术时间 31～53 min，中位手术时间 41 min。患儿均获随访，随访时间 4～12 个月，中位随访时间 9 个月。骨折均愈合，临床愈合时间 36～52 d，中位临床愈合时间 43 d;肘关节伸直活动度125°～147°，中位肘关节伸直活动度 137°;肘关节屈曲活动度 4°～9°，中位肘关节屈曲活动度 6°;前臂旋前活动度 71°～79°，中位前臂旋前活动度 76°;前臂旋后活动度 70°～78°，中位前臂旋后活动度 74°。患儿均未发生克氏针松动、针口感染、神经血管损伤、肘内翻畸形等并发症。末次随访时，采用Flynn肘关节功能评价标准评价临床疗效，优25例，良9例，可 2 例，优良率为 94。4%。结论:单人手法整复联合经皮克氏针内固定治疗GartlandⅢ型儿童肱骨髁上骨折的效果良好，并发症少，骨折愈合良好，肘关节功能恢复好。

外文标题：Effect of Single Manual Rectification Combined with Percutaneous Kirschner Wire Internal Fixation in the Treatment of Gartland Type Ⅲ Supracondylar Humeral Fractures Children

外文摘要：Objective:To investigate the clinical efficacy of single manual rectification combined with percutaneous Kirschner wire internal fixation in the treatment of Gartland type Ⅲ supracondylar humeral fractures children.Method:From January 2022 to May 2023,36 children with Gartland type Ⅲ supracondylar humeral fractures in Luoding Traditional Chinese Medicine Hospital were selected,who were treated with single manual rectification combined with percutaneous Kirschner wire internal fixation.The operation time,hospital stay,fracture healing time,range of motion of the elbow,range of motion of the forearm and complications of all patients were observed and recorded.The Flynn elbow scoring standard was used to evaluate the clinical efficacy at the last follow-up.Result:The 36 cases had an operation time of 31-53 minutes,with a median of 41 minutes.All children were followed up for 4-12 months,with a median of 9 months.All fractures healed,the clinical healing time was 36-52 d,with a median of 43 d.The range of motion for elbow extension was 125° to 147°,with a median of 137°;while the range for elbow flexion was 4° to 9°,with a median of 6°.Forearm pronation had a range of motion from 71° to 79°,with a median of 76°;and forearm supination had a range from 70°to 78°,with a median of 74°.There were no complications such as Kirschner's needle loosening,needle site infection,neurovascular injury or cubit varus deformity.At the final follow-up evaluation using Flynn's criteria for elbow joint function assessment,there were excellent results in 25 cases,good results in 9 cases,and fair results in 2 cases,the rate of excellent and good was 94.4%.Conclusion:The treatment of Gartland type Ⅲ humeral supracondylar fracture in children with single manual rehabilitation combined with percutaneous Kirschner wire internal fixation has good curative effect,few complications,good fracture healing and good elbow joint function recovery.

外文关键词：

Single manual rehabilitationKirschner's wire fixationPercutaneous internal fixationGartland type Ⅲ supracondylar fracture of humerus in children

作者：

柳锦华、刘远文、陈白梅

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作者单位：

罗定市中医院广东罗定 527200

关键词：

单人手法整复克氏针经皮内固定儿童GartlandⅢ型肱骨髁上骨折

出版年：

2024

DOI：