同济大学学报（医学版）2017，Vol.38Issue(5)：79-83,5.DOI:10.16118/j.1008-0392.2017.05.016
儿童Gartland Ⅲ型肱骨髁上骨折不同入路ORPP治疗的比较研究
Open reduction and percutaneous pinning for Gartland type Ⅲ supracondylar humeral fracture in children: medial-entry versus lateral entry
朱诚 1刘杰 2李少华1
作者信息
- 1. 同济大学附属第十人民医院骨科,上海200072
- 2. 宁波市妇女儿童医院骨科,浙江宁波315012
- 折叠
摘要
Abstract
Objective To compare the efficacy and fixation of medial-entry and lateral-entry open reduction percutaneous pinning (ORPP) for Gartland type Ⅲ supracondylar humeral fracture in children.Methods One hundred and eight children with Gartland type Ⅲ supracondylar humeral fracture were treated with the open reduction and percutaneous pinning (ORPP) from January 2013 to December 2014,among whom 52 cases were treated with medial entry (MORPP group) and 56 with lateral-entry (LORPP group).The surgical incision,operative time,intraoperative blood loss,the measured Baumann's angle,humeral condylar angle,elbow joint movement degree,carrying angle,fracture healing time and postoperative complications were documented and compared between two groups.Results The MORPP group had a slightly longer operative time than the LORPP group,but the loss of carrying angle was less,the measured Baumann's angle is smaller (P ＜0.05).There was no significant difference in postoperative complications and elbow function between two groups (P ＞0.05).Conclusion Medial-entry ORPP is a safe and effective surgical modality for Gartland type Ⅲ supracondylar humeral fracture in children.Compared to lateral-entry,the medial-entry has a prolonged operation time,but the fracture reduction in medial-entry was more effective,and the fixation was more stable without increased surgical complications.关键词
肱骨髁上骨折/Gartland Ⅲ型/治疗Key words
supracondylar humeral fracture/gartland type Ⅲ/treatment分类
医药卫生引用本文复制引用
朱诚,刘杰,李少华..儿童Gartland Ⅲ型肱骨髁上骨折不同入路ORPP治疗的比较研究[J].同济大学学报（医学版）,2017,38(5):79-83,5.
