切开复位及闭合复位治疗肱骨髁上骨折患儿的疗效及对肘关节功能的影响

doi:10.3969/j.issn.1006-6233.2023.02.029

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Abstract Objective: To investigate the effect of small lateral elbow incisions combined with lateral Kirschner wire and closed reduction combined with Kirschner wire on elbow joint function in children with supracondylar fracture of the humerus. Methods: Clinical data of 74 children with supracondylar fractures of the humerus admitted to the Department of Orthopedics of our hospital from July 2019 to July 2020 were retrospectively collected. They were divided into two groups based on the treatment method: a small lateral elbow incision combined with lateral Kirschner wire for the incised group (40 cases), and closed repositioning combined with Kirschner wire for the closed group (34 cases). The clinical efficacy of the two groups of children was obtained at 7 weeks postoperatively, and the elbow function scores (MEPS scores) of the two groups of children were collected before, at 3 weeks, at 5 weeks, and 7 weeks postoperatively, and the range of motion of the elbow joint before and after rotation and flexion and extension of the two groups of children were counted at 7 weeks postoperatively. Results: The hospital stay and fracture healing time of the closed group were shorter than those of the incised group (P<0.05). The clinical excellence rate in the closed group was 97.06%, significantly higher than the 80% in the incised group (P<0.05).The MEPS scores of the two groups showed an upward trend with the time change in 7 weeks after surgery, and the upward trend was stronger in the closed group. Elbow anterior rotation, posterior rotation, and flexion and extension were significantly higher in both groups at 7 weeks postoperatively (P<0.05); the difference between the closed group and each angle was significantly higher than that of the incised group at 7 weeks postoperatively (P<0.05). Conclusion: Lateral elbow incision combined with lateral Kirschner wire and closed reduction combined with Kirschner wire can treat supracondylar fracture of the humerus. Closed reduction combined with Kirschner wire can improve the clinical efficacy of supracondylar fracture of the humerus and improve elbow joint function.

Key words： Supracondylar fracture of humerus Kirschner wire Manual reduction Elbow function

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	LIU Liedong
	MA Jiangwei
	BAI Xiaobing

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LIU Liedong,MA Jiangwei,BAI Xiaobing. Effect of Small Incision Combined with Kirschner Wire and Manual Reduction and Plaster External Fixation in the Treatment of Supracondylar Fracture of Humerus on Elbow Function in Children[J]. HeBei Med, 2023, 29(2): 328-332.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.02.029 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I2/328

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