可吸收螺钉治疗儿童肱骨外髁骨折中期疗效分析  

Medium-term curative effect of children humerus lateral condyle fracture by the absorbable screw

作　　者：宿玉玺[1] 谢艳 覃佳强[1] 南国新[1] 张德文[1] 王忠良[1] 蔡文全[1] 

机构地区：[1]重庆医科大学附属儿童医院骨科二病房,干细胞实验室,儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室,重庆市儿童发育重大疾病诊治与预防国际科技合作基地,重庆400016 [2]重庆市渝北区妇幼保健院检验科,重庆400010

出　　处：《第三军医大学学报》2015年第3期234-237,共4页Journal of Third Military Medical University

基　　金：国家自然科学基金青年科学基金(81001197);重庆市自然科学基金(2010JJ0267);国家临床重点专科建设项目([2013]544)~~

摘　　要：目的探讨可吸收螺钉治疗儿童肱骨外髁骨折的中期疗效。方法分析2007年1月至2008年6月重庆医科大学附属儿童医院骨科中心采用可吸收螺钉治疗儿童肱骨外髁骨折的患儿临床资料,选取随访资料完整的56例作为实验组;选取我院同期采用传统克氏针治疗儿童肱骨外髁骨折的随访资料完整的32例作为对照组。按照HSS评分系统对其疗效进行评定,采用SPSS 14.0统计软件,对肘关节功能、骨折愈合、骨骺发育、骨质异常增生进行χ2检验。结果手术病例骨折均愈合,术后根据HSS评分系统,实验组组优42例,良9例,一般5例,优良率达到91.1%;对照组优23例,良6例,一般3例,优良率达到90.6%。实验组瘢痕增生8例,肱骨外髁骨质增生9例;对照组瘢痕增生6例,肱骨外髁骨质增生4例。HSS肘关节功能评分系统(P=0.999),瘢痕增生分析(P=0.582),肱骨外髁骨质增生(P=0.887)。结论可吸收螺钉治疗儿童肱骨外髁骨折远期疗效与克式针相比,在肘关节功能、骨折愈合、骨骺发育、骨质异常增生对比并无统计学差别,可作为儿童肱骨外髁骨折的固定材料。Objective To investigate the medium-term effect of absorbable screw to treat the humerus lateral condyle fracture in children. Methods A retrospective analysis was carried out on the children with humerus lateral condyle fracture undergoing orthopaedic surgery in our department from January2007 to June 2008. Among them,56 cases with completed follow-up who were treated by absorbable screw were assigned as Group A,and another 32 cases with follow-up who were fixed by the kirschner wire were assigned as Group B. According to Hospital for Special Surgery（ HSS） elbow assessment scoring system,the elbow function,fracture healing,epiphyseal growth,and bone hyperplasia were evaluated,and the results were analyzed by Chi-square test with the aid of software SPSS 14. 0. Results All surgical cases were got fracture healing. According to HSS score system,there were 42 cases getting excellent,9 cases good,and 5cases acceptable outcomes in the Group A,with an excellent rate of 91. 1%,while the Group B had 23 cases achieving excellent,6 case good,and 3 case acceptable outcomes,with an excellent rate of 90. 6%. There were 8 cases of scar hyperplasia and 9 cases of bone hyperplasia in humeral lateral condyle in group A,while there were 6 cases of scar hyperplasia and 4 cases of bone hyperplasia in humerus lateral condyle in group B.There was no significant difference in the HSS score（ P = 0. 999）,car hyperplasia（ P = 0. 582）,and bone hyperplasia in humerus lateral condyle（ P = 0. 887） between the 2 groups. Conclusion Compared with kirschner wire in treating humerus lateral condyle fracture in children,absorbable screw has no difference in the elbow function,bone healing,epiphyseal growth,and hyperostosis. So,it can be used as an option in the treatment of humerus lateral condyle fracture for children.

关 键 词：可吸收螺钉 儿童肱骨外髁骨折 HSS评分 

分 类 号：R687.32[医药卫生—骨科学] R726.834.2[医药卫生—外科学]