成都中医药大学学报2017，Vol.40Issue(3)：72-75,4.DOI:10.13593/j.cnki.51-1501/r.2017.03.072
手法复位夹板外固定与切开复位克氏针内固定治疗儿童尺桡骨远端双骨折的对比研究
Comparative Study of Manipulative Reduction Splint External Fixation and Open Reduction and Kirschner Wire Fixation for Treatment of Distal Radius Fractures in Children
摘要
Abstract
Objective:Comparison of manipulative reduction splint external fixation and open reduction and Kirschner wire fixation for the treatment of distal radius fractures in children.Methods:Methods 80 cases of closed fractures of the distal radius and ulna were treated in our hospital from November 2013 to September 2015.The patients were divided into observation group and control group.There were 40 cases in the observation group and the other in the control group (n =40).Patients in the observation group were treated with modified angle reduction manipulation and external fixation,while the control group was treated with open reduction and Kirschner wire internal fixation.After 1 years of treatment with VAS pain score,palmar tilt,ulnar deviation,Gartland-Werley score,Anderson function evaluation criteria to evaluate the efficacy and complications of the two groups.Results:All patients achieved bony union.1 years after treatment two groups of patients with VAS score [(1.18 ± 0.71) points,(1.02 ± 0.66)points,t =0.977,P =0.331],palmar tilt (6.18° ± 1.82°,6.63° ± 1.85°,t =1.096,P =0.277),ulnar deviation (17.65° ± 2.80°,18.23° ± 2.51°,t=0.968,P=0.336),Gartland-Werley score [(2.25 ± 0.63) points,(2.40 ±0.74) points,t =0.973,P =0.334],t =0.973,P =0.334)],the differences between groups were not statistically significant (P ＞ 0.05).According to the evaluation criteria of Anderson function,the observation group was excellent in 28 cases,good in 5 cases,fair in 5 cases and poor in 2 cases.The control group was excellent in 30 all cases,good in 5 cases,fair in 4 cases and poor in 1 cases.Two groups of patients with clinical efficacy,the difference was not statistically significant (P ＞ 0.05).There were 3 cases of complications in the treatment group,and the control group had complications in 6 cases.There was no significant difference in the incidence of complications between the two groups (P ＞ 0.05).Conclusion:Manual reduction splint external fixation and open reduction and Kirschner wire fixation for the treatment of children with double fractures of the distal radius and ulna,can relieve pain,restore wrist function,improve wrist joint activity;However,the treatment of small trauma,simple operation,low cost of treatment,is worthy of clinical application and promotion.关键词
手法复位/夹板固定/克氏针固定/尺桡骨远端双骨折Key words
Manual reduction/Splint fixation/Kirschner wire fixation/Double fracture of distal radius and ulna分类
医药卫生引用本文复制引用
谢正虎,董霞,袁荣霞,赵纯,刘枝城..手法复位夹板外固定与切开复位克氏针内固定治疗儿童尺桡骨远端双骨折的对比研究[J].成都中医药大学学报,2017,40(3):72-75,4.基金项目
四川省医学会科研基金项目(S15069) （S15069）
