肱骨远端倒“V”形截骨与肱骨远端外侧楔形截骨治疗儿童肘内翻的疗效对比  

Comparison of the curative effect of reverse "V"-shaped osteotomy and lateral wedge osteotomy of distal humerus in the treatment of children with cubitus varus

作　　者：刘仕哲[1] 唐盛平[1] 黄子龙 LIU Shi-zhe;TANG Sheng-ping;HUANG Zi-long(Department One of Orthopedics, Shenzhen Children's Hospital, Shenzhen 518000, China)

机构地区：[1]广东深圳市儿童医院B栋骨一科

出　　处：《中国现代药物应用》2019年第20期11-13,共3页Chinese Journal of Modern Drug Application

摘　　要：目的对比肱骨远端倒"V"形截骨与肱骨远端外侧楔形截骨治疗儿童肘内翻疗效。方法 23例肘内翻患儿,按截骨方法不同分为A组(7例)和B组(16例)。A组患儿采用肱骨远端倒"V"形截骨, B组患儿采用肱骨远端外侧楔形截骨。观察患儿随访情况;比较两组治疗前后患侧肱骨远端内外髁间宽度(IEW)、肘外侧突起指数(LCPI);比较两组术后患侧提携角。结果 23例均获得随访,未出现肘内翻复发、无伤口感染、无血管神经损伤。A组术前平均IEW为43.57 mm,与术后的43.71 mm比较,差异无统计学意义(P>0.05);术前平均LCPI为-15%,与术后的-10%比较,差异无统计学意义(P>0.05)。B组术前平均IEW为39.18 mm、平均LCPI为-13%,与术后的41.75 mm、23%比较差异具有统计学意义(P<0.05)。A组术后患侧平均提携角为5.57°,与B组的6.12°比较,差异无统计学意义(P>0.05)。结论肱骨远端倒形截骨矫正儿童肘内翻,效果确切,同时能够避免肱骨远端外侧凸起。Objective To compare the efficacy of reverse "V"-shaped osteotomy and lateral wedge osteotomy of distal humerus in the treatment of children with cubitus varus. Methods A total of 23 children with cubitus varus were divided by different methods of osteotomy into group A(7 cases) and group B(16 cases). Group A received reverse "V"-shaped osteotomy of distal humerus, and group B received lateral wedge osteotomy of distal humerus. The follow-up status was observed, and the interepicondylar width(IEW) of distal humerus on affected side and the lateral condylar prominence index(LCPI) of the elbow before and after operation and carrying angel on affected side after operation were compared between the two groups. Results All 23 cases were followed up without recurrence of cubitus varus, wound infection and vascular nerve injury. The average IEW of group A was 43.57 mm before operation, and there was no statistically significant difference compared with 43.71 mm after operation(P>0.05). The average LCPI was-15% before operation, and there was no statistically significant difference compared with-10% after operation(P>0.05). The average IEW of group B was 39.18 mm and average LCPI was-13%, and there was no statistically significant difference compared with 41.75 mm and 23% after operation(P<0.05). The average carrying angel on affected side after operation of group A was 5.57°, and there was no statistically significant difference compared with 6.12° of group B(P>0.05). Conclusion The reverse "V" osteotomy of the distal humerus is effective in correcting cubitus varus in children and can avoid protrusion of the distal lateral humerus.

关 键 词：肘内翻 截骨术 倒“V”形截骨 楔形截骨 

分 类 号：R726.8[医药卫生—儿科]