切开复位内固定与闭合复位内固定对小儿肱骨髁上骨折功能重建的影响
王佳斌,艾江平,占紫龙
摘要(Abstract)：
目的观察切开复位内固定术与闭合复位内固定术对小儿肱骨髁上骨折功能重建的影响。方法选择海南省三亚市人民医院80例GartlandⅡ以上肱骨髁上骨折患儿,分别采用切开复位内固定术和闭合复位内固定术进行治疗。分别于术前和术后6个月时测定携带角度数和Baumann角度数,并采用改良An和Morrey肘关节功能评定标准进行评定,同时对并发症进行观察。结果在并发症方面,两组差异无统计学意义;Ⅲ型骨折在术后6个月时,两组分别在Baumann角和携带角方面比较差异均有统计学意义,而Ⅱ型骨折在术后6个月时,切开组只在Baumann角方面,两组比较差异有统计学意义;切开组在力量和活动度两个方面上,差异有统计学意义。结论切开复位内固定术和闭合复位内固定术均有效治疗小儿肱骨髁上骨折,减低并发症发生,但对GartlandⅢ型骨折,切开复位内固定术,无论在改善Baumann角和携带角方面,还是功能评定方面,均优于闭合复位内固定术,为一种效果优良的治疗方法。
关键词(KeyWords)： 肱骨髁上骨折;切开复位内固定术;闭合复位内固定术;功能重建;并发症
基金项目(Foundation):
作者(Author): 王佳斌,艾江平,占紫龙
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