论文部分内容阅读
目的比较闭合复位弹性髓内钉与切开复位钢板内固定治疗儿童长骨干骨折的临床疗效。方法回顾性分析自2013-01—2015-12诊治的104例儿童长骨干骨折,采用闭合复位弹性髓内钉内固定56例(髓内钉组),采用切开复位钢板内固定48例(钢板组)。比较2组手术时间、术中出血量、住院时间、骨折愈合时间、下地负重时间、并发症发生率,骨折愈合后评定关节功能。结果 104例均获得随访10~24个月,平均16个月。髓内钉组出现3例钉尾激惹反应。钢板组6例骨折延迟愈合,4例取出钢板后再骨折。髓内钉组在手术时间、术中出血量、住院时间、骨折愈合时间、下地负重时间、并发症发生率、术后关节功能方面优于钢板组,差异有统计学意义(P<0.05)。结论闭合复位弹性髓内钉内固定治疗儿童长骨干骨折的疗效显著,术后恢复快,并发症发生率低。
Objective To compare the clinical effects of closed reduction elastic nail and open reduction and internal fixation for long bone fracture in children. Methods A retrospective analysis was performed on 104 cases of long bone fractures of children diagnosed and treated from January 2013 to December 2015. 56 cases (intramedullary nailing group) underwent closed reduction and elastic intramedullary nail fixation, 48 cases underwent open reduction and internal fixation group). The operative time, intraoperative blood loss, hospital stay, fracture healing time, weight-bearing time, complication rate and joint function after fracture healing were compared. Results All 104 cases were followed up for 10-24 months with an average of 16 months. Three cases of intramedullary nailing induced nail-tip irritation reaction. 6 cases of plate fracture delayed healing, 4 cases of fracture after removal of the plate. The intramedullary nailing group was superior to the steel plate group in operation time, intraoperative blood loss, hospital stay, fracture healing time, weight-bearing time, complication rate and postoperative joint function, the difference was statistically significant (P <0.05). Conclusion Closed reduction with elastic intramedullary nail fixation for the treatment of long bone fractures in children with significant effect, rapid recovery, the incidence of complications is low.