临床小儿外科杂志2025，Vol.24Issue(2)：165-171,7.DOI:10.3760/cma.j.cn101785-202406058-011
闭合复位经皮克氏针固定治疗儿童肱骨外髁骨折的疗效及并发症相关因素分析
Clinical efficacy of closed reduction and percutaneous Kirschner wire fixation for lateral humeral con-dyle fracture in children and analysis of influencing factors of complications:a report of 94 cases
摘要
Abstract
Objective To retrospectively review the clinical data of 94 children with lateral humeral condylar fracture(LHCF)undergoing closed reduction and percutaneous Kirschner wire fixation,observe its curative effect and complications and examine the related factors influencing its complications.Methods From March 2020 to June 2023,the relevant clinical data were retrospectively reviewed for 94 LHCF children under-going closed reduction and percutaneous Kirschner wire fixation at Department of Orthopedics,Yingtan No.184 Hospital.Operative duration,volume of intraoperative blood loss,hospitalization stay,body mass index(BMI),fracture site,injury mode,bone mineral density(BMD),initial displacement of fracture,operation opportunity and time to start functional exercise post-operation were recorded.According to the presence or absence of nee-dle infection,cubitus varus and delayed healing,they were assigned into two groups of normal(n=84)and complication(n=10).Univariate factor analysis and multivariate Logistic regression model were utilized for ex-amining the related factors affecting postoperative complications.Results Average operative duration was(56.62±8.95)min,average volume of intraoperative blood loss(2.34±0.36)ml,average hospitalization stay(4.93±1.15)day and excellent/good rate 90.43％(85/94).During follow-ups of(6-12)month,com-plications occurred at an overall incidence of 10.64％(10/94),including nail infection(n=4),cubitus varus(n=1),cubitus valgus(n=2),delayed healing(n=1)and joint stiffness(n=2).Univariate analysis re-vealed BMI,BMD,initial displacement of fracture,timing of operation and time to start functional exercise post-operation were all correlated with postoperative complications(P＜0.05).Multivariate analysis indicated that BMD,initial displacement of fracture,timing of operation and time of starting functional exercise post-operation were independent influencing factors for postoperative complications(P＜0.05).Conclusions Closed reduc-tion and percutaneous Kirschner wire fixation for LHCF offer the advantages of shorter operative duration,mini-mal hemorrhage,shorter hospitalization stay,high excellent/good rate and fewer complications.And the occur-rence of postoperative complications is correlated with BMD,initial displacement of fracture,timing of operation and time to start functional exercise post-operation.关键词
肱骨外髁骨折/骨折闭合复位/骨折固定术,内/治疗结果/手术后并发症/数据相关性Key words
Fracture of Lateral Humeral Condyle/Closed Fracture Reduction/Fracture Fixation,In-ternal/Treatment Outcome/Postoperative Complications/Correlation of Data引用本文复制引用
杨俊,高辉,侯鹏程,周江军..闭合复位经皮克氏针固定治疗儿童肱骨外髁骨折的疗效及并发症相关因素分析[J].临床小儿外科杂志,2025,24(2):165-171,7.基金项目
2022年全军高层次人才项目([2022]17-02) High-level Talent Project of Whole Army in 2022([2022]17-02) （[2022]17-02）
