经尺骨鹰嘴穿针操纵杆技术辅助复位治疗儿童屈曲型肱骨髁上骨折  

Eagle Beak Needle Manipulation Rod Technology-Assisted Reduction Treatment for Children with Flexion Type Supracondylar Humeral Fractures

作　　者：揭强 练志平 李炳钻 钟黎娟 王建嗣 蔡秀英 宫伟 JIE Qiang;LIAN Zhiping;LI Bingzuan;ZHONG Lijuan;WANG Jiansi;CAI Xiuying;GONG Wei(Quanzhou Orthopedic Hospital,Quanzhou 362000,Fujian China)

机构地区：[1]泉州市正骨医院,福建泉州362000

出　　处：《中国中医骨伤科杂志》2024年第7期77-81,84,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:运用经尺骨鹰嘴穿针操纵杆技术辅助闭合复位,联合经皮克氏针固定治疗儿童屈曲型肱骨髁上骨折,观察其安全性及临床疗效。方法:2019年1月至2021年12月,采用经尺骨鹰嘴穿针操纵杆技术辅助闭合复位,联合经皮克氏针内固定技术治疗儿童屈曲型肱骨髁上骨折55例。其中男42例,女13例;左侧20例,右侧35例;年龄为1~14岁,平均为8岁;伤后至就诊时间平均为19 h(1 h~9 d);根据住院病历相关资料,记录伤后至就诊时间、术中出血量及手术时长,术后随访观察骨折愈合、肘关节功能恢复及术后并发症发生情况。结果:本组平均手术时长为60 min(40~120 min);平均术中出血量为5 mL(1~15 mL);本组病例均获得随访,平均随防时间为6.1个月(3~25个月);骨折均愈合,平均临床愈合时间为5.2周(4~8周);术后末次随访,依据肘关节Flynn临床功能评定标准,优52例,良3例;术后3例出现针道无菌性炎症反应。结论:经尺骨鹰嘴穿针操纵杆辅助复位技术具有学习曲线短、固定牢固、术中出血少及术后并发症少的优点,有利于肘关节功能的恢复,易推广应用,安全有效。Objective:To observe the safety and clinical efficacy of closed reduction assisted by olecranon trocar technique com-bined with percutaneous Kirschner wire fixation in the treatment of children with flexion supracondylar fracture of humerus.Meth-ods:From January 2019 to December 2021,55 children with flexion supracondylar fracture of humerus were treated by closed re-duction assisted by olecranon trocar technique combined with percutaneous Kirschner wire internal fixation.There were 42 males and 13 females.There were 20 cases on the left side and 35 cases on the right side.The age ranged from 1 to 14 years old,with an average of 8 years old.The average treatment time after injury was 19 h(1 h to 9 d);according to the relevant data of inpatient medical records,the time of treatment after injury,the amount of bleeding during operation and the time of operation were recor-ded.The fracture healing,elbow joint function recovery and postoperative complications were observed after follow-up.Results:The average operation time was 60 min(40-120 min).The average intraoperative blood loss was 5 mL(1-15 mL).All patients were followed up for an average of 6.1 months(3-25 months).All fractures healed,with an average clinical healing time of 5.2 weeks(4-8 weeks).At the last follow-up after operation,according to the Flynn clinical function evaluation standard of elbow joint,52 cases were excellent and 3 cases were good.Needle tract reaction occurred in 3 cases after operation.Conclusion:The olec-ranon needle joystick assisted reduction technique has the advantages of short learning curve,reliable fixation,less intraoperative bleeding and less postoperative complications,which is conducive to the recovery of elbow joint function,easy to promote,safe and effective.

关 键 词：儿童 肱骨髁上骨折 屈曲型 尺骨鹰嘴 操纵杆 

分 类 号：R683.41[医药卫生—骨科学]