中外医学研究2024，Vol.22Issue(35)：112-115,4.DOI:10.14033/j.cnki.cfmr.2024.35.028
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
Effect of Single Manual Rectification Combined with Percutaneous Kirschner Wire Internal Fixation in the Treatment of Gartland Type Ⅲ Supracondylar Humeral Fractures Children
摘要
Abstract
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.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Key words
Single manual rehabilitation/Kirschner's wire fixation/Percutaneous internal fixation/Gartland type Ⅲ supracondylar fracture of humerus in children引用本文复制引用
柳锦华,刘远文,陈白梅..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[J].中外医学研究,2024,22(35):112-115,4.基金项目
云浮市科技计划项目(WS2022030702) （WS2022030702）
