| 引用本文： |
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朱诚,刘杰,李少华.儿童Gartland Ⅲ型肱骨髁上骨折不同入路ORPP治疗的比较研究[J].同济大学学报（医学版）,2017,38(5):79-83. [点击复制]
- ZHU Cheng,LIU Jie,LI Shao-hua.Open reduction and percutaneous pinning for Gartland type Ⅲ supracondylar humeral fracture in children： medial-entry versus lateral entry[J].同济大学学报（医学版）,2017,38(5):79-83. [点击复制]
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| 摘要: |
| 目的 探讨ORPP治疗儿童Gartland Ⅲ型肱骨髁上骨折的近期疗效及固定方式。方法2013年1月至2014年12月，采取切开复位经皮克氏针内固定治疗Gartland Ⅲ型骨折108例，其中52例采取内侧入路（MORPP组），56例采用外侧入路（LORPP组）。观察手术切口、手术时间、术中出血量，随访测量Baumann角、肱骨干髁角、肘关节活动度、提携角，并观察骨折愈合时间和并发症，收集数据并进行统计分析。结果MORPP组的手术时间长于LORPP组，末次随访时MORPP组提携角丢失角度较少，所测Baumann角更小，差异均有统计学意义（均P<0.05）。术后两组并发症、肘关节功能差异无统计学意义（P>0.05）。结论恰当技术下MORPP是一种治疗儿童Gartland Ⅲ型SCHF安全有效的手术方法；相比于LORPP，尽管手术的时间可能会延长，但手术并发症的发生率并没有升高，且复位更有效、内固定稳定性更高。 |
| 关键词: 肱骨髁上骨折 Gartland Ⅲ型 治疗 |
| DOI：10.16118/j.1008-0392.2017.05.016 |
| 投稿时间：2017-05-24 |
| 基金项目: |
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| Open reduction and percutaneous pinning for Gartland type Ⅲ supracondylar humeral fracture in children： medial-entry versus lateral entry |
| ZHU Cheng,LIU Jie,LI Shao-hua |
| (Dept. of Orthopedics, Tenth Peoples Hospital, Tongji University, Shanghai 200072, China; Dept. of Orthopedics, Ningbo Women & Childrens Hospital, Ningbo 315012, Zhejiang Province, China) |
| Abstract: |
| Objective To compare the efficacy and fixation of medial-entry and lateral-entry open reduction percutaneous pinning (ORPP) for Gartland type Ⅲ supracondylar humeral fracture in children. MethodsOne hundred and eight children with Gartland type Ⅲ supracondylar humeral fracture were treated with the open reduction and percutaneous pinning (ORPP) from January 2013 to December 2014, among whom 52 cases were treated with medial entry (MORPP group) and 56 with lateral-entry (LORPP group). The surgical incision, operative time, intraoperative blood loss, the measured Baumanns angle，humeral condylar angle，elbow joint movement degree，carrying angle，fracture healing time and postoperative complications were documented and compared between two groups. ResultsThe MORPP group had a slightly longer operative time than the LORPP group，but the loss of carrying angle was less, the measured Baumanns angle is smaller (P<0.05). There was no significant difference in postoperative complications and elbow function between two groups (P>0.05). ConclusionMedial-entry ORPP is a safe and effective surgical modality for Gartland type Ⅲ supracondylar humeral fracture in children. Compared to lateral-entry, the medial-entry has a prolonged operation time, but the fracture reduction in medial-entry was more effective, and the fixation was more stable without increased surgical complications. |
| Key words: supracondylar humeral fracture gartland type Ⅲ treatment |
