| 超声引导闭合复位克氏针内固定治疗儿童KilfoyleⅡ、Ⅲ型肱骨内髁骨折 |
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投稿时间：2021-02-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 袁思 |
YUAN Si |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 李战春 |
LI Zhan-chun |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China |
zhanchun@126.com |
| 吕帅杰 |
LYU Shuai-jie |
浙江中医药大学第一临床医学院, 浙江 杭州 310053 |
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| 姚智渊 |
YAO Zhi-yuan |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China |
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| 童培建 |
TONG Pei-jian |
浙江中医药大学附属第一医院, 浙江 杭州 310006 |
The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第5期，第437-441页 |
| DOI：10.12200/j.issn.1003-0034.2021.05.008 |
| 基金项目:浙江省自然科学基金（编号：LY17H27006）；浙江省教育厅一般项目（编号：Y201942372） |
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中文摘要:
目的： 探讨超声引导闭合复位克氏针内固定治疗儿童KilfoyleⅡ、Ⅲ型肱骨内髁骨折的临床疗效。
方法： 回顾性分析自2014年1月至2019年8月采用超声引导闭合复位克氏针内固定治疗的32例儿童肱骨内髁骨折的临床资料，其中男23例，女9例；年龄3.2~12.8（8.3±2.1）岁；按照Kilfoyle分型，Ⅱ型12例，Ⅲ型20例；合并肘关节脱位有5例；受伤至手术时间1~5（3.1±1.3） d。术后进行放射性学评估并观察并发症情况，末次随访时采用Mayo肘关节功能评分量表（Mayo elbow per-formance score，MEPS）对肘关节功能进行评估；测量并比较患侧与健侧肱骨-尺骨角。
结果： 所有患儿获得随访，时间8~26（19.3±5.5）个月。术后骨折均愈合，骨折愈合时间4~6（4.5±0.5）周。无感染、血管神经损伤、骨不连、滑车坏死以及肘内、外翻畸形等并发症发生。患侧肱骨-尺骨角（9.5±3.6）°与健侧（9.1±3.5）°比较差异无统计学意义（P>0.05）；患侧MEPS （95.3±2.5）分与健侧（96.3±2.2）分比较差异无统计学意义（P>0.05）。按照Mayo评分标准，所有患儿肘关节功能评定为优。
结论： 超声引导闭合复位克氏针内固定治疗儿童KilfoyleⅡ、Ⅲ型肱骨内髁骨折是一种安全、有效的方法，值得进一步在临床上推广。 |
| 【关键词】超声检查,多普勒,彩色 肱骨骨折 儿童 骨折固定术 |
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| Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of KilfoyleⅡand Ⅲ medial condylar fracture of humerus in children |
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ABSTRACT
Objective: To explore clinical effectiveness and safety of ultrasound-guided closed reduction and K-wires internal fixation in treating of Kilfoyle Ⅱand Ⅲ medial condylar fracture of humerus in children.
Methods: Clinical data of 32 children with medial condylar fracture of humerus treated with closed reduction and internal fixation with K-wires under the guidance of ultrasound were retrospectively analyzed from January 2014 to August 2019, including 23 males and 9 females, age ranged from 3.2 to 12.8 years old with an average of (8.3±2.1) years old;According to classification of Kilfoyle, 12 patients classified to typeⅡ and 20 patients were type Ⅲ;5 patients combined with elbow dislocation;the time from injury to operation ranged from 1 to 5 days with an average of(3.1±1.3) days. Radiological evaluation of treatment results and complications were observed. At the final follow-up, Mayo elbow performance score(MEPS) was used to evaluate elbow function. And humerus-ulna angle on the affect side and healthy side were measured and compared.
Results: All patients were followed up from 8 to 26 months with an average of(19.3±5.5) months. All fractures were healed well, the healing time ranged from 4 to 6 weeks with an average of (4.5±0.5) weeks. No infection, vascular and nerve injury, bone nonunion, trochlear necrosis, cubitus varus or valgus deformity were occurred. According to Mayo scoring, all patients were assessed as excellent. There was no significant difference in angle of humerus-ulna between affected side (9.5±3.6)° and healthy side (9.1±3.5)°, and no difference in MEPS scores between affected side(95.3±2.5) and healthy side(96.3±2.2)(P>0.05).
Conclusion: For Kilfoyle typeⅡand Ⅲ medial condylar fracture of humerus in children, closed reduction and internal fixation with K-wire under ultrasound guidance is a safe and effective method, and could promote in further. |
| KEY WORDS Ultrasonography,doppler,color Humeral fractures Child Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 袁思,李战春,吕帅杰,姚智渊,童培建.超声引导闭合复位克氏针内固定治疗儿童KilfoyleⅡ、Ⅲ型肱骨内髁骨折[J].中国骨伤,2021,34(5):437~441 |
| 英文格式: | YUAN Si,LI Zhan-chun,LYU Shuai-jie,YAO Zhi-yuan,TONG Pei-jian.Ultrasound-guided closed reduction and kirschner wires internal fixation for the treatment of KilfoyleⅡand Ⅲ medial condylar fracture of humerus in children[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(5):437~441 |
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