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目的探讨急诊徒手复位经皮穿刺克氏针固定治疗不稳定型的儿童肱骨近端骨折临床效果。方法 2008年3月-2013年3月收治26例有移位不稳定型的肱骨近端骨折患儿,均急诊C型臂X线机监控下徒手复位满意后,经皮穿刺克氏针内固定治疗,采用Constant-Murley评分方法评定疗效。结果本组患儿均获得8-42月随访,骨折均愈合良好,愈合时间6-12周,无骨折延迟愈合或不愈合及针道感染患者。按照Constant-Murley评分方法,优良率96.1%。结论急诊徒手复位经皮穿刺克氏针内固定治疗移位不稳定型的儿童肱骨近端骨折,创伤小、对骨折愈合影响小,能保证骨折相对稳定、可靠。
Objective To investigate the clinical effect of emergency manual reduction and percutaneous Kirschner wire fixation in the treatment of unstable proximal humeral fractures in children. Methods From March 2008 to March 2013,26 cases of proximal humeral fractures with displacement instability were treated. All patients underwent emergency hand replacement under the control of C-arm X-ray. After percutaneous Kirschner wire internal fixation Treatment, the use of Constant-Murley score assessment of efficacy. Results The children were followed up for 8 to 42 months. The fractures healed well and the healing time was 6-12 weeks. There were no patients with delayed union or nonunion and needle infection. According to the Constant-Murley score method, the excellent and good rate was 96.1%. Conclusion Emergency manual reduction percutaneous pinning Kirschner wire fixation of unstable proximal humeral fractures in children with small trauma, the impact of fracture healing is small, to ensure that the fracture is relatively stable and reliable.