新型辅助复位固定装置在儿童肱骨髁上骨折术中的临床应用
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淮安市第一人民医院

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Clinical application of a novel assisted reduction fixation device in the operation of supracondylar humerus fractures in children
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Huai’an First People’s Hospital

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    摘要:

    摘要:[目的] 设计一种新型辅助复位固定装置应用于儿童肱骨髁上骨折手术中并评价其临床疗效。[方法] 回顾性分析我院2019年6月~2022年6月我院收治的85例伸直型肱骨髁上骨折患者临床资料。43 例采用新型辅助复位固定装置协助闭合复位经皮克氏针交叉固定治疗(研究组),42例采用传统闭合复位经皮克氏针交叉固定治疗(对照组)。比较两组手术时间、术中透视次数、Baumann角、提携角、骨折愈合时间及末次随访时肘关节功能Flynn评分。观察两组术后并发症情况。[结果] 研究组的手术时间和术中透视次数短于或少于对照组、而提携角则大于对照组,上述差异具有统计学意义(p<0.05)。Baumann角、骨折愈合时间和Flynn评分两组间比较无统计学差异(p>0.05)。术后对照组发生1例尺神经损伤、2例针道周围感染及2例轻度肘内翻,研究组发生1例迟发性尺神经麻痹。[结论] 新型辅助复位固定装置结构简单、使用方便,在儿童肱骨髁上骨折手术中可缩短手术时间,减少术中透视次数。

    Abstract:

    Abstract: [Objective] To analyze the clinical efficacy of a novel assisted reduction fixation device in the operation of the supracondylar humerus fracture in children. [Methods] A retrospective study was conducted in 85 patients who underwent closed reduction and percutaneous pinning surgeries in our hospital from June 2019 to June 2022. Forty-three patients treated with a new assisted reduction fixation device to assist in closed reduction and percutaneous K-wire needle cross-fixation were allocated into study group, and 42 patients with traditional closed reduction and percutaneous K-wire needle cross-fixation were assigned into control group. The operation duration, intraoperative fluoroscopy frequency, Baumann angle, carrying angle, fracture healing time and Flynn score of elbow joint function at the final follow-up were compared between two groups. The postoperative complications of two groups were recorded. [Results] There were significant differences between two groups in terms of operation duration, intraoperative fluoroscopy frequency, and carrying angle (p<0.05), while no significant differences of Baumann angle and the fracture healing time between two groups were observed (p>0.05). In the control group, ulnar nerve injury in one case, needle site infection in 2 cases and mild cubitus varus in 2 cases were detected. In the study group, delayed ulnar nerve palsy in one case was observed. There was no significant difference in Flynn scores between two groups. [Conclusion] The novel assisted reduction fixation device is simple and convenient. Closed reduction and percutaneous K-wire needle cross-fixation with this device has similar effect to traditional treatment of supracondylar humerus fracture in children. The application of the novel device could relatively shorten the operation duration and reduce the intraoperative fluoroscopy frequencies.

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  • 收稿日期:2022-10-13
  • 最后修改日期:2023-02-12
  • 录用日期:2023-03-21
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