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纸质出版:2015
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宿玉玺,谢艳,覃佳强,南国新,张德文,王忠良,蔡文全.可吸收螺钉治疗儿童肱骨外髁骨折中期疗效分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(03):234-237.
Su Yuxi,Xie Yan,Qin Jiaqiang,Nan Guoxin,Zhang Dewen,Wang Zhongliang,Cai Wenquan.Medium-term curative effect of children humerus lateral condyle fracture by the absorbable screw[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(03):234-237.
宿玉玺,谢艳,覃佳强,南国新,张德文,王忠良,蔡文全.可吸收螺钉治疗儿童肱骨外髁骨折中期疗效分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(03):234-237. DOI:
Su Yuxi,Xie Yan,Qin Jiaqiang,Nan Guoxin,Zhang Dewen,Wang Zhongliang,Cai Wenquan.Medium-term curative effect of children humerus lateral condyle fracture by the absorbable screw[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(03):234-237. DOI:
目的 探讨可吸收螺钉治疗儿童肱骨外髁骨折的中期疗效。 方法 分析2007年1月至2008年6月重庆医科大学附属儿童医院骨科中心采用可吸收螺钉治疗儿童肱骨外髁骨折的患儿临床资料,选取随访资料完整的56例作为实验组;选取我院同期采用传统克氏针治疗儿童肱骨外髁骨折的随访资料完整的32例作为对照组。按照HSS评分系统对其疗效进行评定,采用SPSS 14.0统计软件,对肘关节功能、骨折愈合、骨骺发育、骨质异常增生进行χ
2
检验。 结果 手术病例骨折均愈合,术后根据HSS评分系统,实验组组优42例,良9例,一般5例,优良率达到91.1%;对照组优23例,良6例,一般3例,优良率达到90.6%。实验组瘢痕增生8例,肱骨外髁骨质增生9例;对照组瘢痕增生6例,肱骨外髁骨质增生4例。HSS肘关节功能评分系统(P=0.999),瘢痕增生分析(P=0.582),肱骨外髁骨质增生(P=0.887)。 结论 可吸收螺钉治疗儿童肱骨外髁骨折远期疗效与克式针相比,在肘关节功能、骨折愈合、骨骺发育、骨质异常增生对比并无统计学差别,可作为儿童肱骨外髁骨折的固定材料。
Objective To investigate the medium-term effect of absorbable screw to treat the humerus lateral condyle fracture in children. Methods A retrospective analysis was carried out on the children with humerus lateral condyle fracture undergoing orthopaedic surgery in our department from January 2007 to June 2008. Among them
56 cases with completed follow-up who were treated by absorbable screw were assigned as Group A
and another 32 cases with follow-up who were fixed by the kirschner wire were assigned as Group B. According to Hospital for Special Surgery (HSS) elbow assessment scoring system
the elbow function
fracture healing
epiphyseal growth
and bone hyperplasia were evaluated
and the results were analyzed by Chi-square test with the aid of software SPSS 14.0. Results All surgical cases were got fracture healing. According to HSS score system
there were 42 cases getting excellent
9 cases good
and 5 cases acceptable outcomes in the Group A
with an excellent rate of 91.1%
while the Group B had 23 cases achieving excellent
6 case good
and 3 case acceptable outcomes
with an excellent rate of 90.6%. There were 8 cases of scar hyperplasia and 9 cases of bone hyperplasia in humeral lateral condyle in group A
while there were 6 cases of scar hyperplasia and 4 cases of bone hyperplasia in humerus lateral condyle in group B. There was no significant difference in theHSS score (P=0.999)
car hyperplasia (P=0.582)
and bone hyperplasia in humerus lateral condyle (P=0.887) between the 2 groups. Conclusion Compared with kirschner wire in treatinghumerus lateral condyle fracture in children
absorbable screw has no difference in the elbow function
bone healing
epiphyseal growth
and hyperostosis. So
it can be used as an option in the treatment of humerus lateral condyle fracture for children.
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