Abstract：Objective: To study effects of Closed reduction and elastic intramedullary nail fixation treatment with radial neck fracture in children and Its Influence on elbow joint function. Methods: 81 radial neck fracture in children who received therapy from March 2017 to March 2018 in our hospital were selected as research objects. According to random number table,those patients were divided into the observation group (n=42) and the control group (n=39). The control group was treated with , while the observation group treated with Closed reduction and elastic intramedullary nail fixation. Then the Therapeutic effect, operative indicators (operation time, intraoperative blood loss, hospital stay, fracture healing time), elbow flexion and extension, rotation range of motion of two groups after treatment were compared. Results: After treatment, The total effective rate of observation group was significantly higher than that of control group[88.09%(37/42)vs61.53%(24/39)](P＜0.05). The operation time, intraoperative blood loss, hospitalization time and fracture healing time were significantly lower than those in the control group[(30.48±8.25)min vs(46.02±10.40)min,(9.65±2.10)ml vs(14.08±3.07)ml,(7.39±2.13)d vs(11.83±3.86)d ,(40.38±4.29)d vs(51.56±5.10)d](P＜0.05). The flexion, extension and rotation of elbow joint were significantly higher than those of control group[(140.98±22.13)°vs(130.12±19.61)°,(8.37±1.53)°vs(4.97±1.02)°,(86.02±12.29)°vs(80.75±10.34)°,(84.08±12.84)°vs(76.40±9.73)°](P＜0.05). Conclusion: Closed reduction and elastic intramedullary nail fixation in the treatment of radial neck fracture in children has a significant effect, can achieve satisfactory reduction effect, can effectively improve the elbow function of children, fewer complications, improve life treatment.
[1] 刘永立,程富礼,景小博,等.切开复位、交叉克氏针固定治疗儿童桡骨颈骨折[J].临床小儿外科杂志,2015,14(06):534~536. [2] Ryu SM, Yoon DH, Park SG.Clinical and radiographic outcomes of pediatric radial head fractures[J].Indian Orthop,2018, 52(5):561~567. [3] 吴敏,官建中,肖玉周,等.经皮克氏针撬拨复位弹性髓内钉固定治疗儿童重度桡骨颈骨折[J].中国修复重建外科杂志,2015,29(12):1478~1482. [4] Ricon FJ, Lajara F, Fuentes A, et al. Pyrocarbon arthroplasty in acute unreconstructable radial head fractures: mid-term to long term results[J].Orthop Traumatol,2018, 19(1):13. [5] 明晓锋,陈登山,张晓强.闭合复位弹性髓内钉固定和经皮克氏针撬拨复位固定治疗儿童O'BrienⅡ、Ⅲ型桡骨颈骨折的疗效比较[J].中医正骨,2016,28(2):15~19. [6] Kurnaz R, Ikizler M, Ozbayburtlu M, et al.A limb-threatening long Arterial dissection caused by humerus neck fracture: a case report[J].Malays Orthop,2018, 12(1):51~53. [7] 汪元成,熊文,郭孝军.小儿重度桡骨颈骨折行经皮撬拨复位疗效观察[J].河北医学,2017,23(2):320~323. [8] 谭林,江涛,潘俊,等.小儿桡骨颈骨折的微创治疗[J].中国骨与关节损伤杂志,2014,29(5):511~512. [9] 王孝辉.经皮撬拨复位固定、切开复位固定及弹性髓内钉间接固定治疗儿童严重移位桡骨颈骨折的疗效比较[J].中国骨与关节外科,2012,5(6):501~504. [10] 吴泉州,黄淑明,蔡奇勋,等.弹性髓内针与克氏针固定治疗儿童桡骨颈骨折的病例对照研究[J].中国骨伤,2017,30(1):19~24. [11] 鞠黎,楼跃,唐凯.Israeli手法闭合复位配合Metaizeau法治疗O'brienⅢ型儿童桡骨颈骨折[J].江苏医药,2015,41(18):2203~2204.
2019, Vol. 25 
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