CAJ | 학술논문

目的探讨儿童肱骨内上髁骨折的有效治疗方法. 方法选择2008年1月-2011年6月收治的25例儿童肱骨内上髁骨折患者,其中男18例,女7例;年龄7～ 14岁,平均11.4岁.合并伤:肘关节脱位7例,外髁骨折2例.按随机数字表法将患者分为肘内侧入路、切开复位、可吸收棒内固定组(A组,13例)和切开复位经皮克氏针固定组(B组,12例).术后均采用石膏托固定.A组术后2～3周开始功能训练,B组术后4～6周有明显骨痂时开始功能训练,并定期随访. 结果所有患者均获随访6 ～41个月,平均22个月.骨折愈合时间A组3～5周,平均3.8周;B组4～8周,平均5.6周.6个月后肘关节功能根据改良Bede评分标准:A组优10例,良3例,可0例,差0例,评分(93.7±3.3)分;B组优3例,良7例,可2例,差0例,评分(85.3±6.3)分(t=-4.24,P＜0.05). 结论切开复位可吸收棒内固定稳定性强、功能恢复好、并发症少,是治疗儿童肱骨内上髁骨折的理想方法.
목적 탐토인동굉골내상과골절적유효치료방법. 방법 선택2008년1월-2011년6월수치적25례인동굉골내상과골절환자,기중남18례,녀7례;년령7～ 14세,평균11.4세.합병상:주관절탈위7례,외과골절2례.안수궤수자표법장환자분위주내측입로、절개복위、가흡수봉내고정조(A조,13례)화절개복위경피극씨침고정조(B조,12례).술후균채용석고탁고정.A조술후2～3주개시공능훈련,B조술후4～6주유명현골가시개시공능훈련,병정기수방. 결과 소유환자균획수방6 ～41개월,평균22개월.골절유합시간A조3～5주,평균3.8주;B조4～8주,평균5.6주.6개월후주관절공능근거개량Bede평분표준:A조우10례,량3례,가0례,차0례,평분(93.7±3.3)분;B조우3례,량7례,가2례,차0례,평분(85.3±6.3)분(t=-4.24,P＜0.05). 결론 절개복위가흡수봉내고정은정성강、공능회복호、병발증소,시치료인동굉골내상과골절적이상방법.
Objective To discuss the effective treatments for fracture of the medial humeral epicondyle in children.Methods Twenty-five children with fracture of the medial humeral epicondyle treated from January 2008 to June 2011 were studied,including 18 males and 7 females at age of 7-14 years (mean,11.4 years).There were 7 cases accompanied with elbow joint dislocation and 2 lateral humeral epicondyle fracture.Patients were assigned to medial elbow approach to open reduction and internal fixation with absorbable rods (Group A,n =13) and open reduction and percutaneous K-wire fixation (Group B,n =12) according to the random number table.A plaster support was applied after surgery.Functional training was initiated 2-3 weeks after operation for Group A and 4-6 weeks after adequate callus formation for Group B.Moreover,follow-up was performed at regular intervals.Results All patients were followed up for 6-41 months (mean,22 months).Mean healing time was 3.8 weeks (range,3-5 weeks) in Group A and 5.6 weeks (range,4-8 weeks) in Group B.At postoperative 6 months,Bede elbow performance score was (93.7 ± 3.3) points in Group A with 10 excellent and 3 good results and (85.3 ±6.3) points in Group B with 3 excellent,7 good,and2 fair results (t=-4.24,P＜0.05).Conclusion Open reduction and internal fixation with absorbable rods gains advantages of rigid immobilization,functional recovery and minor complication and hence is effective for treatment of medial humeral epicondyle fracture in children.