闭合复位经皮克氏针内固定联合前臂石膏托外固定治疗儿童桡骨远端骨折的效果观察  

Efficacy of closed reduction and percutaneous Kirschner wire internal fixation combined with forearm plaster external fixation in the treatment of distal radius fracture in children

作　　者：彭涛[1] 马玉龙[1] 宋得夫[1] 杨毅军[1] Peng Tao;Ma Yulong;Song Defu;Yang Yijun(Department of Orthopedics,Xi'an Children's Hospital,Xi'an 710032,China)

机构地区：[1]西安市儿童医院骨科,西安710032

出　　处：《中国医学前沿杂志（电子版）》2020年第5期126-130,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的观察闭合复位经皮克氏针内固定联合前臂石膏托外固定治疗儿童桡骨远端骨折的效果。方法回顾性分析2015年1月至2017年12月西安市儿童医院收治的90例桡骨远端骨折患儿的临床资料,根据治疗方式不同将其分为观察组(47例)和对照组(43例),观察组患儿采用闭合复位经皮克氏针内固定联合前臂石膏托外固定治疗,对照组患儿采用手法复位石膏外固定治疗,观察两组患儿治疗前后尺偏角、掌倾角和桡骨缩短长度变化以及骨折愈合时间、骨折畸形愈合率、再移位率和术后6个月腕关节功能。结果治疗后4周,两组患儿尺偏角、掌倾角较治疗前均显著改善(均P<0.05),桡骨缩短长度均显著减小(均P<0.05),且观察组患儿以上指标改善均显著优于对照组(均P<0.05);两组患儿骨折愈合时间、骨折畸形愈合率比较差异均无统计学意义(均P>0.05);观察组患儿骨折再移位率显著低于对照组(P<0.05)。治疗后6个月,观察组患儿腕关节功能优良率显著高于对照组(P<0.05)。结论闭合复位经皮克氏针内固定联合前臂石膏托外固定治疗儿童桡骨远端骨折,能有效纠正尺偏角、掌倾角、桡骨长度缩短,降低再移位发生率,有利于患儿腕关节功能的恢复。Objective To observe the efficacy of closed reduction and percutaneous Kirschner wire internal fixation combined with forearm plaster external fixation in the treatment of distal radius fracture in children.Method The clinical data of 90 children with distal radius fractures admitted to Xi'an Children's Hospital from January 2015 to December 2017 were retrospectively analyzed.According to the different treatment methods,children were divided into observation group(47 cases)and control group(43 cases).Children in observation group were given closed reduction and percutaneous Kirschner wire internal fixation combined with forearm plaster external fixation,and children in control group were treated with manual reduction and plaster external fixation.The changes of ulnar angle,palm tilt angle and radius shortening length before and after treatment,the fracture healing time,fracture deformity healing rate,redisplacement rate and wrist function at 6 months after operation were compared between the two groups.Result 4 weeks after treatment,the ulnar angle and palm tilt angle of the two groups were significantly improved compared with those before treatment(all P<0.05),and the radius shortening length was significantly reduced(all P<0.05),and the above indexes in observation group were significantly better than those in control group(all P<0.05).There were no significant differences in the fracture healing time and fracture deformity healing rate between the two groups(all P>0.05).The redisplacement rate of fracture in observation group was significantly lower than that in control group(P<0.05).6 months after treatment,the excellent and good rate of wrist function in observation group was significantly higher than that in control group(P<0.05).Conclusion Closed reduction and percutaneous Kirschner wire internal fixation combined with forearm plaster external fixation for distal radius fractures in children can effectively correct the ulnar angle,palm tilt angle and radius shortening,reduce the incidence rate of redisplac

关 键 词：桡骨远端骨折 儿童 克氏针内固定 前臂石膏托外固定 手法复位石膏外固定 

分 类 号：R726.8[医药卫生—儿科]