论文部分内容阅读
[目的]分析79例儿童前臂远端骨折闭合复位小夹板固定后移位相关因素。[方法]回顾性分析2012年9月至2014年10月间79例闭合复位小夹板固定儿童前臂远端骨折患者资料,并记录年龄、性别、骨折部位、成角、移位程度、和否合并尺骨骨折、骨折是否斜行骨折、复位固定医师级别、复位精确程度,并评估这些因素对骨折移位影响和相关性。[结果]79例患者中14例(17.7%)出现骨折移位.对骨折再移位影响因素中,性别、年龄无显著性差异;原始骨折掌侧成角与背侧成角无显著差异;左侧肢体发生骨折移位多于右侧;前臂远端骨折合并尺骨骨折,再次移位明显增加;原始骨折完全移位再次移位明显大于原始骨折未完全移位,斜行骨再次移位明显大于非斜行骨折。高级职称医师复位固定优于初中级医师;解剖复位后再次移位显著减少。[结论]儿童前臂远端骨折行闭合复位小夹板固定治疗出现再移位影响因素是多方面的,骨折原始移位程度和骨折经复位后是否达到解剖复位是最主要影响因素。
[Objective] To analyze the related factors of the displacement of the closed reduction small splint in 79 cases of distal forearm fractures. [Methods] The clinical data of 79 patients with distal forearm fractures of pediatric children undergoing closed reduction and splint fixation from September 2012 to October 2014 were retrospectively analyzed. Age, sex, location of fracture, angulation, degree of displacement, and merger were recorded Ulnar fracture, fracture diagonal fracture, reduction and fixation physician level, the exact degree of reduction, and assess the impact of these factors on fracture displacement and correlation. [Results] Fourteen cases (17.7%) had fracture dislocation in 79 cases, but there was no significant difference in the factors affecting the re-displacement of fracture between sex and age. Left limb fractures were more displaced than right ones. Distal forearm fractures were associated with ulnar fractures and again increased significantly. Complete displacement of the original fractures was significantly greater than that of the original fractures. Greater than non-oblique fractures. Senior professional physicians reset fixed better than junior physicians; anatomical reduction again after the shift was significantly reduced. [Conclusion] There are many influencing factors of re-displacement in the treatment of distal forearm fractures of children with closed reduction and small splint fixation. The primary factors affecting the degree of original dislocation and the anatomic reduction after fracture reduction are the primary factors.