闭合复位改良外侧交叉克氏针内固定治疗43例肱骨髁上骨折患儿的疗效观察

中国中西医结合儿科学 ›› 2021, Vol. 13 ›› Issue (1): 63-.

闭合复位改良外侧交叉克氏针内固定治疗43例肱骨髁上骨折患儿的疗效观察

夏红涛，屈唱，马俊腾

466000 河南周口，周口市中医院骨二病区

出版日期:2021-02-25 发布日期:2021-05-17
通讯作者: 夏红涛，E-mail：xiahtzkyy@163.com
作者简介:夏红涛（1981-），男，医学硕士，主治医师。研究方向：中医骨伤
基金资助:
河南省中医药科学研究专项课题（2015ZY02013）

Closed reduction and modified lateral cross Kirschner wire internal fixation to treat 43 children with humeral supracondylar fractures

XIA Hongtao，QU Chang，MA Junteng

Second Bone Ward, Zhoukou Traditional Chinese Medicine Hospital, Zhoukou 466000,China

Online:2021-02-25 Published:2021-05-17

摘要/Abstract

摘要： 目的：探讨闭合复位改良外侧交叉克氏针内固定治疗肱骨髁上骨折患儿的效果及其对肘关节功能的影响。
方法：选择2018年2月至2019年2月我院收治的肱骨髁上骨折患儿85例为研究对象，按手术方式分为对照组42例和观察组43例。对照组行闭合复位内外侧交叉克氏针内固定术治疗，观察组行闭合复位改良外侧交叉克氏针内固定术治疗，对比治疗效果。
结果：观察组手术效果优于对照组，手术、住院及骨折愈合时间均较对照组短，肘关节及前臂主动活动度较对照组大，术后并发症发生率较对照组低，差异均有统计学意义（P<0.05）。
结论：闭合复位改良外侧交叉克氏针内固定可通过缩短肱骨髁上骨折患儿手术时间、促进术后恢复，改善肘关节功能，进而提高手术效果且不良反应较少。

关键词: 闭合复位, 改良外侧交叉克氏针内固定, 肱骨髁上骨折, 肘关节功能

Abstract: Objective：To explore the effect of closed reduction and modified lateral cross Kirschner wire internal fixation in the treatment of children with supracondylar fractures of the humerus and its influence on the function of the elbow joint.
Methods：A total of 85 children with supracondylar fractures of the humerus who were admitted to our hospital from February 2018 to February 2019 were selected as the research subjects. According to the operation method, they were divided into 42 cases in the control group and 43 cases in the observation group. The control group received closed reduction and internal and lateral cross Kirschner wire internal fixation, and the observation group received closed reduction and modified lateral cross Kirschner wire internal fixation, and the therapeutic effects were compared.
Results：The operation effect of the observation group was better than that of the control group. The time of operation, hospitalization and fracture healing was shorter than that of the control group. The degree of active movement of elbow joint and forearm was larger than that of the control group. The incidence of postoperative complications was lower than that of the control group. The difference in all the above aspects was statistically significant(P<0.05).
Conclusion：Closed reduction and modified lateral cross Kirschner wire internal fixation can shorten the operation time in children with supracondylar fractures of the humerus, promote postoperative recovery, improve elbow joint function, and improve the surgical effect with fewer adverse reactions.

Key words: Closed reduction, Modified lateral cross Kirschner wire internal fixation, Supracondylar fracture of humerus, Elbow joint function

夏红涛，屈唱，马俊腾. 闭合复位改良外侧交叉克氏针内固定治疗43例肱骨髁上骨折患儿的疗效观察[J]. 中国中西医结合儿科学, 2021, 13(1): 63-.

XIA Hongtao，QU Chang，MA Junteng. Closed reduction and modified lateral cross Kirschner wire internal fixation to treat 43 children with humeral supracondylar fractures[J]. Chinese Pediatrics of Integrated Traditional and Western Medicine, 2021, 13(1): 63-.