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作 者:卢凤珊[1] 李伟强[1] 柯荣华 马洪[1] 郭跃明[1] LU Fengshan;LI Weiqiang;KE Ronghua;MA Hong;GUO Yueming(Pediatric Orthopedics Department,Foshan Hospital of Traditional Chinese Medicine,Foshan 528051,China;不详)
出 处:《中国医学创新》2025年第9期101-105,共5页Medical Innovation of China
摘 要:目的:探究正骨手法复位后小夹板外固定治疗肱骨髁上骨折患儿的效果。方法:前瞻性选取2021年3月—2023年4月佛山市中医院收治的160例肱骨髁上骨折患儿,采用随机数字表法将其分为A组(n=80)与B组(n=80)。B组行常规手法复位联合石膏固定治疗,A组行正骨手法复位后小夹板外固定治疗。比较两组操作时间、住院时间、骨折愈合时间,治疗前与治疗后12周Mayo肘关节功能评分和肘关节活动度及并发症发生情况。结果:A组操作时间、住院时间、骨折愈合时间均较B组短,差异均有统计学意义(P<0.05);A组治疗后12周疼痛、运动功能、稳定性、日常活动评分均较B组高,差异均有统计学意义(P<0.05);治疗后12周A组屈曲、伸展、旋前、旋后活动度均较B组高,差异均有统计学意义(P<0.05);A组并发症发生率为3.75%,较B组的13.75%低,差异有统计学意义(P<0.05)。结论:正骨手法复位后小夹板外固定治疗肱骨髁上骨折患儿,可缩短骨折愈合时间,加快患儿康复,增加肘关节活动度,改善肘关节功能,降低并发症发生率,可行性高。Objective:To investigate the effect of small splint external fixation after orthopedic manipulation reduction on children with supracondylar fracture of humerus.Method:A total of 160 children with supracondylar fracture of humerus admitted to Foshan Hospital of Traditional Chinese Medicine from March 2021 to April 2023 were prospectively selected and divided into group A(n=80)and group B(n=80)by random number table method.Group B was treated with conventional manual reduction and plaster fixation,and group A was treated with small splint external fixation after orthopedic manipulation reduction.Operation time,hospital stay,fracture healing time,Mayo elbow joint function score and elbow joint motion before treatment and 12 weeks after treatment and complications were compared between the two groups.Result:The operation time,hospitalization time and fracture healing time in group A were shorter than those in group B,the differences were statistically significant(P<0.05).12 weeks after treatment,the pain,motor function,stability and daily activity scores in group A were higher than those in group B,the differences were statistically significant(P<0.05).12 weeks after treatment,flexion,extension,pronation and supination activity in group A were higher than those in group B,with statistical significance(P<0.05).The incidence of complications in group A was 3.75%,which was lower than 13.75%of group B,the difference was statistically significant(P<0.05).Conclusion:The treatment of children with supracondylar fracture of humerus with small splint external fixation after orthopedic manipulation reduction can shorten the healing time of fracture,accelerate the recovery of children,increase elbow joint motion,improve elbow joint function,and reduce the incidence of complications,it is highly feasible.
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