闭合复位经皮克氏针内固定、手法复位夹板外固定治疗儿童桡骨远端骺板损伤的疗效比较

摘要

Objective To evaluate the curative effect of closed reduction and percutaneous Kirschner wire fixation,and manual reduction splint external fixation on children's radius distal epiphyseal plate injury.Methods Twenty cases treated by closed reduction and percutaneous Kirschner wire fixation were group A,and another 25 cases using manual reduction splint external fixation were group B.Degree of pain,swelling,stable effect after reset and late complications,joint function score after treatment of the two groups were compared.Results Three to six months postoperative follow up of showed that limb swelling degree,fracture end stability and late complications,wrist joint function score in group A were better than that of group B,and all of the differences were significant (P ＜ 0.05).Conclusions Closed reduction and percutaneous Kirschner wire fixation for treating children of distal radius fractures fixed reliable are simple to operate with small trauma,better fixation and fewer complications,so it is better than that of manual reduction splint external fixation.%目的 评价急症采用闭合复位经皮克氏针内固定、手法复位夹板外固定治疗儿童桡骨远端骺板损伤的疗效.方法 采用闭合复位经皮克氏针内固定的20例患儿为A组,采用手法复位夹板外固定的25例患儿为B组,比较两组患儿治疗后患肢疼痛程度、肿胀程度、复位后稳定效果及并发症发生率、后期关节功能评分.结果 术后随访3～6个月,A组在治疗后患肢肿痛程度、骨折端稳定性及并发症发生率、后期腕关节功能评分方面优于B组,组间比较差异有统计学意义(P＜0.05).结论 急症闭合复位经皮克氏针内固定治疗儿童桡骨远端骨折操作简单、创伤小、固定可靠、并发症少,优于手法复位夹板外固定.