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[1]呂辰瑋,林偉棟,沈鴻輝,等.正骨手法聯(lián)合關(guān)節(jié)造影術(shù)治療Jakob Ⅱ型兒童肱骨外髁骨折臨床分析[J].福建醫(yī)藥雜志,2021,43(04):11-14.
　LV Chenwei,LIN Weidong,SHEN Honghui,et al.Clinical analysis of manual reduction combined with arthrography in the treatment of Jakob type Ⅱ humeral lateral condyle fractures in children[J].FUJIAN MEDICAL JOURNAL,2021,43(04):11-14.
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正骨手法聯(lián)合關(guān)節(jié)造影術(shù)治療Jakob Ⅱ型兒童肱骨外髁骨折臨床分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
43
期數(shù):
2021年04期
頁碼:
11-14
欄目:
臨床研究
出版日期:
2021-08-15

文章信息/Info

Title:
Clinical analysis of manual reduction combined with arthrography in the treatment of Jakob type Ⅱ humeral lateral condyle fractures in children
文章編號:
1002-2600(2021)04-0011-04
作者:
呂辰瑋; 林偉棟; 沈鴻輝; 莊志強(qiáng); 劉海清
福建中醫(yī)藥大學(xué)附屬漳州中醫(yī)院骨傷科（漳州 363000）
Author(s):
LV Chenwei; LIN Weidong; SHEN Honghui; ZHUANG Zhiqiang; LIU Haiqing
Department of Orthopaedics,Zhangzhou Hospital of Traditional Chinese Medicine Affiliated to Fujian University of Traditional Chinese Medicine,Zhangzhou,Fujian 363000,China
關(guān)鍵詞:
肱骨外髁; 正骨手法; 關(guān)節(jié)造影術(shù); 克式針; 兒童
Keywords:
humeral lateral condyle; bonesetting skill; arthrography; Kirschner wire; children
分類號:
R681.7
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討正骨手法聯(lián)合關(guān)節(jié)造影術(shù)對JakobⅡ型兒童肱骨外髁骨折的臨床療效。 方法 選取我院收治的61例JakobⅡ型肱骨外髁骨折的患兒，隨機(jī)分為觀察組（30例）和對照組（31例）兩組。觀察組采用手法整復(fù)經(jīng)皮克氏針固定，并在術(shù)中以關(guān)節(jié)造影進(jìn)行評估；對照組采用切開復(fù)位克氏針固定。比較兩組的術(shù)中出血量、手術(shù)時間、住院天數(shù)、術(shù)后早期疼痛程度、骨折愈合情況、肘關(guān)節(jié)功能優(yōu)良率。 結(jié)果 所有患者在術(shù)后6周均達(dá)骨折臨床愈合標(biāo)準(zhǔn)。兩組均未發(fā)生骨骺早閉、缺血性骨壞死、肘外翻畸形等并發(fā)癥。術(shù)后8周行Mayo評分，觀察組的優(yōu)良率高于對照組，差異有統(tǒng)計學(xué)意義(P<0.05)。觀察組的術(shù)中出血量、手術(shù)時間、住院天數(shù)、術(shù)后早期疼痛評分均低于對照組，差異有統(tǒng)計學(xué)意義(P<0.05)。 結(jié)論 治療JakobⅡ型兒童肱骨外髁骨折，采用閉合整復(fù)經(jīng)皮穿針固定聯(lián)合關(guān)節(jié)造影術(shù)的方法，具有創(chuàng)傷小、失血少、疼痛程度低、關(guān)節(jié)功能恢復(fù)快的優(yōu)點(diǎn)，并在骨折愈合和畸形預(yù)防方面，能夠與傳統(tǒng)的切開復(fù)位手術(shù)達(dá)到相同的效果。
Abstract:
Objective To observe the clinical effect of manual reduction combined with arthrography in the treatment of Jakob type Ⅱ humeral lateral condylar fracture in children．Methods A total of 61 children with Jakob type Ⅱ humeral lateral condylar fracture from February 2017 to July 2020 were selected and randomly divided into two groups．A total of 30 cases in the experimental group were treated with manipulative reduction and percutaneous Kirschner wire fixation，and evaluated by arthrography during the operation．A total of 31 cases in the control group were treated with open reduction and Kirschner wire fixation.The intraoperative blood loss，operation time hospitalization days，early postoperative pain，fracture healing condition and excellent and good rate of elbow function were compared between the two groups.Results All cases reached the standard of fracture healing 6 weeks after operation.There were no complications such as premature epiphyseal closure，ischemic osteonecrosis，cubitus valgus deformity in both groups.Mayo score was performed 8 weeks after operation. The excellent and good rate of the experimental group was higher than that of the control group,and the difference was statistically significant (P<0.05).The intraoperative blood loss，operation time，hospitalization days and early postoperative pain score of the experimental group were lower than those of the control group，and the difference was statistically significant (P<0.05)．Conclution For the treatment of Jakob type Ⅱ children's humeral lateral condyle fracture，closed reduction and percutaneous Kirschner wire fixation method has the advantages of less trauma，less blood loss，low degree of pain and quick recovery of joint function，and can achieve the same effect as traditional open reduction and kirschner wire fixation in fracture healing and deformity prevention.

參考文獻(xiàn)/References:

[1]Tan S H S,Dartnell J,Lim A K S,et al.Paediatric lateral condyle fractures:a systematic review[J].Arch Ortho p Trauma Surg,2018,138(6):809-817.
[2]Crellin D J,Harrison D,Santamaria N,et al.The psychometric properties of the FLACC scale used to assess procedural pain[J].J Pain,2018,19(8):862-872.
[3]Pressmar J,Weber B,Kalbitz M.Different classifications concerning fractures of the lateral humeral condyle in children[J].Eur J Trauma Emerg Surg,2020.DOI:10.1007/s00068-020-01349-6．
[4]劉源,李華慶,高云,等.切開復(fù)位克氏針內(nèi)固定在兒童肱骨外髁骨折手術(shù)治療中的效果分析[J].中國現(xiàn)代藥物應(yīng)用,2020,14(7):57-59.
[5]Li J，Rai S，Gao Y,et al．Biodegradable pins for lateral condylar fracture of the humerus with an early delaye d presentation in children：a retrospective study of biodegradable pin vs．Kirschner wire[J]．BMC Musculoskelet Disord,2020,21(1):735.
[6]Olivotto E，Stilli L，Di Gennaro G L，et al．Neglected fractures of the lateral humeral condyle in children; Which treatment for which condition?[J]．Children (Basel),2021,8(1):56.
[7]楊立峰,楊斌輝,劉豐虎,等.兩種方式治療兒童Gartland Ⅲ型肱骨髁上骨折的療效比較[J].實(shí)用醫(yī)學(xué)雜志,2018,34(8):1399-1400.
[8]吳越,張海林.正骨手法聯(lián)合克氏針內(nèi)固定治療小兒肱骨外髁骨折的臨床療效研究分析[J]．浙江創(chuàng)傷外科,2018,23(2):350-52.
[9]伍興,李雄濤,夏敬冬,等.超聲引導(dǎo)閉合復(fù)位內(nèi)固定治療輕度移位的兒童肱骨外髁骨折[J].中華小兒外科雜志,2019,40(10):939-943．
[10]米熱阿迪力·努爾買買提,馮力,廖云杰,等.關(guān)節(jié)造影輔助下克氏針固定治療兒童JakobⅡ型肱骨外髁骨折[J].中華手外科雜志,2020(2):134-135-136.
[11]郭林．影像學(xué)評價兒童肱骨外髁骨折準(zhǔn)確性及其臨床應(yīng)用研究[D].天津醫(yī)科大學(xué),2018.

備注/Memo

備注/Memo:
基金項(xiàng)目：2017年福建省衛(wèi)生計生青年科研課題立項(xiàng)（2017-2-65）；漳州市中醫(yī)重點(diǎn)專科建設(shè)項(xiàng)目資助
更新日期/Last Update: 2021-08-15