河北医科大学学报

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肘前侧小切口入路手术对肱骨髁上骨折患者关节活动度及影像学指标的影响

  

  1. 云南省临沧市人民医院青华医院骨科,云南 临沧 677000
  • 出版日期:2018-02-25 发布日期:2018-02-06
  • 作者简介:任东伟(1981-),男,回族,云南临沧人,云南省临沧市人民医院青华医院主治医师,从事骨外科疾病诊治研究。
  • 基金资助:
    云南省教育厅科学研究基金项目(2016ZDX109)

Effect of open reduction through lateral minithoracotomy in treating humeral supracondylar fracture and the influence on joint mobility and imaging indexes#br#

  1. Department of Orthopedic, Lincang City People′s Hospital, Qinghua Hospital Yunnan Province, Lingcang 677000, China
  • Online:2018-02-25 Published:2018-02-06

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察肘前侧小切口入路手术对肱骨髁上骨折患者关节活动度及影像学指标的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗将肱骨髁上骨折患者139例随机分为2组,观察组72例采用肘前侧小切口切开复位固定法,对照组67例采用闭合复位固定法。术后随访6个月。比较2组临床疗效及术后3个月肘关节功能恢复情况、肘关节活动度、影像学指标不良反应。
〖HTH〗结果〖HTSS〗〖KG*2〗观察组临床疗效和肘关节功能恢复优良率均显著高于对照组,差异有统计学意义 (P<005);观察组治疗后肘关节屈曲度和伸展度大于对照组,影像学指标CA角大于对照组、BA角和TA角小于对照组,差异均有统计学意义(P<005);观察组不良反应发生率显著低于对照组,差异有统计学意义(P<005)。
〖HTH〗结论〖HTSS〗〖KG*2〗肘前侧小切口入路手术能够提高肘关节屈伸范围,术后影像学指标表现更优,可作为治疗肱骨髁上骨折的首选手术方法。

关键词: 肱骨骨折, 手术术式, 关节活动度, 影像学指标

Abstract: [Abstract] Objective〖HTSS〗〓To analyze the effect of open reduction through lateral minithoracotomy in the treatment of humeral supracondylar fracture and the influence on joint mobilityand imaging indexes.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓One hundred and thirty nine cases of patients with humeral supracondylar fracture were  divided into two groups randomly, the observation group(72 cases) was treated with open reduction through lateral minithoracotomy, while the control group(67 cases) was treated with closed reduction. All patients were followedup for 6 months. The clinical efficacy, elbow joint function recovery, joint mobility and radiographic imaging indexes after 3 months of two groups were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The effective rates and the excellent rate of elbow joint function recovery of observation group were significantly better than control group(P<005). The joint flexion and extension of observation group were significantly higher than control group(P<005). The carrying angle of observation group was bigger than control group, the Baumann angle and tilting angle of observation group were smaller than control group(P<005). The adverse rates of observation group was significantly lower than control group(P<005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Open reduction through lateral minithoracotomy can effectively improve the joint mobility and radiographic imaging indexes, promote the recovery of elbow function, which is a good operation method in treating humeral supracondylar fracture.

Key words: humeral fractures, surgery procedures; joint mobility, radiographic imaging indexes