切开复位内固定手术治疗早期陈旧性肱骨外髁骨折的肘关节功能分析  

Analysis of elbow joint function in treatment of early old fracture of lateral condyle of humerus with open reduction and internal fixation

作　　者：杜喜峰[1] 刘志勇 陈秋 沙宝学 DU Xi -feng;LIU Zhi -yong;CHEN Qiu(Two Department of bone,The Shenzhen children＇s Hospita)

机构地区：[1]深圳市儿童医院骨二科,广东深圳518000 [2]复旦大学附属公共卫生临床中心骨科

出　　处：《中国伤残医学》2018年第14期10-12,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：将切开复位内固定手术应用于早期陈旧性肱骨外髁骨折患儿的临床治疗中，分析对其肘关节功能的影响作用。方法：本文实验研究资料为2012年4月-2017年7月36例早期陈旧性肱骨外髁骨折患儿，依据治疗方案差异性开展分组，实施于对照组（18例），切开复位内固定手术实施于观察组（18例），观察并统计2组患儿的治疗优良合计率、骨折愈合时间、肘关节活动度。结果：对照组患儿的治疗优良合计率相较于观察组患儿相关统计值，P〈0．05，呈现数值间的统计学意义，对照组惠儿的骨折愈合时间、肘关节活动度相较于观察组患儿相关统计值，P〈0．05，呈现数值间的统计学意义。结论：在早期陈旧性肱骨外髁骨折患儿的临床治疗中应用切开复住内固定手术治疗，可以促使肘关节功能恢复，能够促使患儿的骨折尽快愈合，改善患儿的肘关节活动度，呈现十分重要的临床价值。Objective：To analyze the effect of open reduction and internal fixation on elbow joint function in children with early old fracture of lateral condyle of humerus. Methods： from April 2012 to July 2017, 36 cases of early old fracture of lateral condyle of humerus were divided into groups. 18 cases in control group and 18 eases in experimental group were treated with open reduction and internal fixa- tion. The excellent total rate of treatment, fracture healing time and elbow motion were observed and counted. Results： the total rate of excellent treatment in the control group was significantly higher than that in the experimental group （ P 〈 0.05 ）, showing the statistical significance of numerical calculation and detection, and the healing time of fracture in the control group. Compared with the experimental group, the range of motion of elbow joint was significantly higher than that of the experimental group （ P 〈 0.05 ）. Conclusion： the ap- plication of open reduction and internal fixation in the treatment of early old fracture of lateral condyle of humerus could promote the recov- ery of elbow joint function, promote the fracture healing as soon as possible, and improve the movement of elbow joint in children. Pres- ents very important clinical value.

关 键 词：切开复位内固定手术 早期陈旧性肱骨外髁骨折 肘关节功能 

分 类 号：R683.41[医药卫生—骨科学]