中国组织工程研究Issue(26)：4218-4222,5.DOI:10.3969/j.issn.2095-4344.2015.26.023
克氏针及可吸收棒内固定修复儿童肱骨髁上骨折：生物相容性比较
Biocompatibility of Kirschner wireversus absorbable rod fixation for repairing supracondylar fracture of humerus in children
王远辉 1万永鲜 1叶里子 1罗雷茗 1谭美云1
作者信息
- 1. 泸州医学院附属医院骨与关节外科，四川省泸州市 646000
- 折叠
摘要
Abstract
BACKGROUND:Humeral supracondylar fracture is a common fracture occurred in children. The selection of internal fixation for humeral supracondylar fracture remains controversial. OBJECTIVE:To compare the biocompatibility between internal fixation with Kirschner wire and bioabsorbable implants for humeral supracondylar fractures. METHODS: From January 2007 to January 2013, 246 cases of humeral supracondylar fractures, from Affiliated Hospital of Luzhou Medical Colege, were treated by internal fixation with Kirschner wire. Meanwhile, the studies on internal fixation for treating supracondylar fracture of humerus in children were searched. Efficacy was evaluated by preoperative and postoperative elbow range of motion and the incidence of cubitus varus, and the results were statisticaly analyzed, and compared with other therapeutic methods. RESULTS AND CONCLUSION:Al cases were folowed up for 6-36 months, averagely 18 months. According to Mayo elbow performance score, function of the elbow joint was excelent in 194 cases, and good in 48 cases, with good and excelent rate being 98.4%. Four cases suffered < 5° cubitus varus, with incidence rate of 1.63%. The internal fixation with Kirschner wire provided functional recovery of elbow joint, but the second stage operation was needed to pick out the wires. And it might be perplexed by Kirschner wire loosening or needle withdrawal, resulting in instable fixation. Bioabsorbable implants were effective in the treatment of supracondylar fracture of humerus. Bioabsorbable sticks would break down over time, without harming to human body or influencing imaging examination. Elbow function development of the epiphysis would not be affected. However, due to lack of large-sample observation, long-term effects of bioabsorbable implants for treating supracondylar fracture of humerus in children deserve further studies.关键词
植入物/骨植入物/肱骨髁上骨折/克氏针/拉力螺钉/可吸收钉/可吸收棒/内固定/儿童Key words
Humerus/Fractures, Bone/Fracture Fixation/Recovery of Function分类
医药卫生引用本文复制引用
王远辉,万永鲜,叶里子,罗雷茗,谭美云..克氏针及可吸收棒内固定修复儿童肱骨髁上骨折：生物相容性比较[J].中国组织工程研究,2015,(26):4218-4222,5.
