[1]苏联彬 王承云** 刘琦 王斯晟 陈永法 刘茂升.撬拨杠杆辅助复位在难复性儿童肱骨髁上骨折的应用[J].中国微创外科杂志,2023,01(11):818-823.
　Su Lianbin,Wang Chengyun,Liu Qi,et al.Application of Leverage Assisted Reduction in the Treatment of Irreducible Supracondylar Humerus Fracture in Children[J].Chinese Journal of Minimally Invasive Surgery,2023,01(11):818-823.
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撬拨杠杆辅助复位在难复性儿童肱骨髁上骨折的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年11期
页码:
818-823
栏目:
临床研究
出版日期:
2023-11-25

文章信息/Info

Title:
Application of Leverage Assisted Reduction in the Treatment of Irreducible Supracondylar Humerus Fracture in Children
作者:
苏联彬 王承云** 刘琦 王斯晟 陈永法 刘茂升
(厦门大学附属第一医院小儿骨科，厦门361003)
Author(s):
Su Lianbin;  Wang Chengyun;  Liu Qi;  et al.
Department of Pediatric Orthopedics, First Affiliated Hospital of Xiamen University, Xiamen 361003, China
关键词:
肱骨髁上骨折; 闭合复位; 杠杆技术
Keywords:
Supracondylar humerus fracture; Closed reduction; Leverage technology
文献标志码:
A
摘要:
目的探讨撬拨杠杆辅助复位在难复性儿童肱骨髁上骨折应用的效果。方法回顾性分析2019年7月~2021年12月30例难复性儿童肱骨髁上骨折资料，其中2020年7月前15例继续尝试闭合复位为对照组，2020年7月后撬拨杠杆辅助复位15例为观察组。2组年龄、性别、侧别、骨折分型、术前等待时间差异无显著性(P>0.05)。比较2组手术指标及术后6个月随访结果。结果观察组手术时间短于对照组［35(25~50)min vs. 42(35~80)min，Z=-3.045，P=0002］，术中透视次数少于对照组［39(26~55)次vs. 52(39~92)次，Z=-3.535，P=0.000］，2组闭合复位成功率、术后6周Baumann角、术后6个月肘关节功能差异无统计学意义(P>0.05)。按Flynn标准，术后6个月肘关节功能优良率100%(30/30)。均无并发症发生。结论合理地使用撬拨杠杆技术辅助闭合复位难复性儿童肱骨髁上骨折能缩短手术时间，减少术中透视次数，不增加临床并发症，值得临床推广应用。
Abstract:
ObjectiveTo evaluate the clinical effect of the application of leverage assisted reduction in the treatment of irreducible supracondylar humerus fracture in children. MethodsClinical data of 30 cases of irreducible supracondylar humerus fracture in children from July 2019 to December 2021 were retrospectively analyzed. Among them, the control group consisted of 15 cases who continued to attempt closed reduction before July 2020, and the observation group consisted of 15 cases who underwent leverage assisted reduction after July 2020. There were no significant differences in age, gender, fracture side, fracture type, and preoperative waiting time between the two groups (P>0.05). The operative parameters and followups results after 6 months were compared between the two groups.ResultsAs compared with the control group, the observation group had shorter operation time ［35 (25-50) min vs. 42 (35-80) min, Z=-3.045, P=0.002］ and fewer intraoperative fluoroscopy times ［39 (26-55) times vs. 52(39-92) times, Z=-3.535, P=0.000］. There were no differences in the success rate of closed reduction, the Baumann Angle measured at 6 weeks after surgery, and elbow joint function at 6 months after surgery (P>0.05). According to the Flynn standard, the excellent and good rate of elbow joint function at 6 months after surgery was 100% (30/30). There were no complications. ConclusionThe application of leverage technique to assist in closed reduction of irreducible supracondylar humerus fracture in children can shorten the operation time and reduce the times of fluoroscopy, and do not increase clinical complications, being worthy of recommendation.

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备注/Memo

备注/Memo:
基金项目：福建中医药大学校管临床专项(XB2021094)**通讯作者，Email：hanson19830920@163.com
更新日期/Last Update: 2024-02-06