俯卧折顶法治疗小儿肱骨髁上骨折

目的:探讨““俯卧折顶法““治疗小儿肱骨髁上骨折的临床疗效并对该整复方法进行生物力学分析.方法:将124例小儿肱骨髁上骨折的病例采用随机数字表法分为实验组与对照组,分别采用““俯卧折顶法““与传统整复方法进行治疗;以““肿胀程度““、““复位次数““、““活动范围““、““治疗效果““作为疗效观测指标,对两组病例的治疗效果进行观测对比,并对两种整复方法的力学原理进行讨论分析.结果:实验组在““肿胀程度““、““复位次数““、““活动范围““、““治疗效果““各项观测指标上均优于对照组(P＜0.05).按照临床功能评定标准,实验组:优31例,良22例,可9例,差0例,优良率85%;对照组:优11例,良35例,可14例,差2例,优良率74%.两组疗效差异具有显著性(P＜0.05).结论:采用““俯卧折顶法““整复小儿肱骨髁上骨折成功率高,疗效可靠,力学原理更科学,方法简捷省力,易于推广.

Treatment of supracondylar humeral fracture in children with "prostrating and fragmental"manipulation

Objective: To explore the effect and biomechanical analysis of supracondylar humeral fracture in children with "prostrating and fracgmental" manipulation.Methods:124 patients with supracondylar humeral fracture were divided randomly into experimental group and control group,they were treated with "prostrating and fragmental" and traditional manipulation respectively.To analyze the index of two groups,including swelling degree,diaplastic times,range of activity and therapeutic efficacy.Mechanical principles of the two methods were analyzed.Results:Observational all the indexes in the experimental group were better than that in the control group.According to the standard of functional evaluation,experimental group:31 cases obtained excellent result,22 cases good and 9 fair,the rate of excellent and good was 85%;control group:11 cases obtained excellent result,35 cases good,14 fair and 2 poor,the rate of excellent and good was 74%.There was significant differences,observed between the experimental group and the control group (P<0.05).Conclusion:The "prostrating and fragmental"manipulation in treating supracondylar humeral fracture in children has high successful rate,satisfactory effect,scientific mechanical principle,simple operation.This method is easily to be spreaded.