闭合复位夹板固定治疗Salter-HarrisⅡ型儿童桡骨远端骨骺损伤疗效分析  

Efficacy analysis of closed reduction and splint fixation in the treatment of Salter-Harris typeⅡchildren with distal radius epiphysis injury

作　　者：邢加辉 范桐顺 李泽佳[1] 刘鸣峻 刘丽民[1] 赵洪洲[1] XING Jiahui;FAN Tongshun;LI Zejia;LIU Mingjun;LIU Limin;ZHAO Hongzhou(Department of Orthopedics and Traumatology of Integrated Chinese and Western Medicine,Tianjin Hospital,Tianjin 300211,China)

机构地区：[1]天津市天津医院中西医结合骨伤科,天津300211

出　　处：《天津中医药大学学报》2021年第5期600-603,共4页Journal of Tianjin University of Traditional Chinese Medicine

摘　　要：[目的]回顾分析天津市天津医院闭合复位夹板固定治疗Salter-HarrisⅡ型儿童桡骨远端骨骺损伤的疗效。[方法]回顾自2019年9月—2020年3月经急诊闭合复位夹板外固定治疗,且完成随访的137例Salter-HarrisⅡ型儿童桡骨远端骨骺损伤病例,随访周期6~12个月,其中复位后3 d内复查再移位进行再次复位患者4例。[结果]随访患者均骨性愈合,与健侧等长,参照Gartland-Werley腕关节评分表,优129例,良8例,优良率达100%。[结论]闭合复位夹板外固定治疗Salter-HarrisⅡ型儿童桡骨远端骨骺损伤预后优良率高,是一种安全有效的治疗方法。[Objective]To retrospectively analyze the efficacy of closed reduction splint fixation in the treatment of Salter-Harris typeⅡchildren with distal radius epiphyseal injury.[Methods]A total of 137 Salter-Harris typeⅡchildren with distal radius epiphyseal injury treated with emergency closed reduction splint external fixation from September 2019 to March 2020 and followed up for 6~12 months were reviewed.Among them,re-displacement was found within 3 days after reduction,and 4 patients underwent secondary reduction.[Results]All patients were followed up with bone healing,which was consistent with the length of the healthy side.Referring to the Gartland-Werley wrist score table,129 cases were excellent,8 cases were good,and the excellent and good rate reached 100%.[Conclusion]Closed reduction and splint external fixation is a safe and effective treatment for typeⅡchildren with distal radius epiphyseal injury with high prognosis rate.

关 键 词：闭合复位 骨骺损伤 Salter-HarrisⅡ型 

分 类 号：R726.8[医药卫生—儿科]