两种克氏针固定方法治疗儿童肱骨髁上骨折疗效对比  

Comparison of two K-wire approaches in children's supracondylar fracture treatment

作　　者：张会勇[1] 苏利国[1] 冯文博[1] 段家波 陈士利[1] 李宴节 

机构地区：[1]邯郸市第二医院骨二科,河北邯郸056001

出　　处：《中国医学前沿杂志（电子版）》2014年第10期56-58,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的探讨克氏针外髁两针固定与克氏针内外髁交叉三针固定治疗儿童肱骨髁上骨折的疗效,为临床选择合理术式提供参考。方法选取本院2011年1月至2013年1月收治的儿童肱骨髁上骨折患儿148例,按克氏针固定方式分为A组(62例)与B组(86例),A组患儿行克氏针外髁两针固定,B组患儿行克氏针内外髁交叉三针固定。术后对比两组疗效、愈合时间、患肢运动力学表现及并发症发生情况。结果术后B组患儿提携角、屈伸丢失、前臂力量均优于A组,差异均有显著性(P<0.05);B组患儿治疗优良率(97.67%)明显优于A组(85.48%)(χ2=7.234,P=0.015);A组患儿并发症发生率(12.90%)显著高于B组(1.16%),差异显著(χ2=9.121,P=0.001)。结论克氏针内外髁交叉三针固定可以取得更稳定的支撑效果,疗效优于克氏针外髁两针固定,临床可考虑优先选择该术式。Objective To compare clinical effects of two K-wires approach and three K-wires approach in children＇s supracondylar fracture treatment, provide a reasonable surgical reference for clinical practice. Method 148 children with supracondylar fracture of humeral were divided into two groups from January 2011 to January 2013. Group A（62 patients） used two K-wires approach, group B（86 patients） used three K-wires approach. The Flynn criteria result, length of healing, kinematics performance and complication were compared between two groups. Result The carrying angle, movement and strength of elbow joint in group B were better than group A（P〈0.05）; the excellence rate of group B was 97.67%, significantly better than group A（85.48%）（χ^2= 7.234, P = 0.015）; incidence rate of complication in group A was 12.90%, significantly higher than group B（1.16%）（χ^2= 9.121, P = 0.001）. Conclusion Three K-wires approach has a better performance in supporting the fracture site, and the clinical effect is better, this surgical approach can be considered preferentially.

关 键 词：肱骨髁上骨折 克氏针 骨折固定术 

分 类 号：R726.8[医药卫生—儿科]