单纯交叉克氏针内固定治疗儿童尺骨鹰嘴骨折的效果分析  

Analysis of treatment results of internal fixation with crossed K-wire on olecranon fracture in children

作　　者：吴德超[1] 韩镜明[1] 游超[1] 夏永杰[1] 王建胜[1] WU De-chao;HAN Jing-ming;YOU Chao;XIA Yong-jie;WANG Jian-sheng(The Second Department of Orthopaedics,Shenzhen Children＇s Hospital,Guangdong Province,Shenzhen 518038,China)

机构地区：[1]深圳市儿童医院骨二科,广东深圳518038

出　　处：《中国当代医药》2018年第23期98-101,共4页China Modern Medicine

基　　金：广东省深圳市卫生计生系统科研项目(重点学科建设能力提升类)(201506050)

摘　　要：目的对比单纯交叉克氏针内固定和克氏针联合钢丝张力带内固定治疗儿童尺骨鹰嘴骨折的效果并探讨前者的手术适应证。方法选取2014年1月~2015年12月年我科收治的尺骨鹰嘴骨折患儿48例作为研究对象,根据手术方法分为单纯克氏针固定治疗组(简称K-W组)(22例)和克氏针张力带固定治疗组(简称TBW组)(26例),T-W组采用切开复位、单纯交叉克氏针内固定技术的治疗方法 ,TBW组采用切开复位、克氏针联合张力带固定技术的治疗方法。比较两组的切口长度、手术持续时间、术中出血量、术后石膏连续固定时间、术后并发症、肘关节功能。结果 K-W组的切口长度短于TBW组,术中出血量少于TBW组、术后并发症发生率低于TBW组,手术持续时间、术后石膏连续固定时间短于TBW组,差异均有统计学意义(P<0.05);两组的肘关节功能优良率比较,差异无统计学意义(P>0.05)。结论采用单纯交叉克氏针治疗儿童尺骨鹰嘴骨折是安全有效的,在减少手术损伤方面具有优势。Objective To compare the clinical efficacies of crossed K-wire fixation and K-wire combined with tension band internal fixation in the treatment of children′s olecranon and to discuss the surgical indications. Methods A total of 48 children with olecranon fractures treated in our department from January 2014 to December 2015 were selected and divided into the group of K-wire fixation（K-W group）（22 cases） and the group of tension band wiring（TBW group）（26 cases） according to the surgery procedure. The K-W group was treated with open reduction and crossed K-wires fixation and the TBW group was treated with open reduction and tension band wiring fixation. The incision length, the duration of the surgery, the intraoperative blood loss, the duration of immobilization, postoperative complications, and elbow function evaluation were compared between the two groups. Results The incision length in the of K-W group was shorter than that in the TBW group, duration of surgery and cast immobilization, intraoperative blood loss in the K-W group were losser than that in the TBW group, postoperative complications in the K-W group was lower than that in the TBW group, duration of the surgery and the duration of immobilization was shorter than that in the TBW group, which had significant differences（P〈0.05）. There was no significant difference in elbow function evaluation between the two groups（P〈0.05）. Conclusion The use of crossed K-wire without tension band in the treatment of olecranon fractures in children is safe and effective, and has advantages in reducing surgical injuries.

关 键 词：儿童 尺骨鹰嘴骨折 克氏针 张力带 

分 类 号：R687.3[医药卫生—骨科学]