可吸收螺钉置入治疗小儿肱骨髁上骨折

背景：研究表明，可吸收螺钉置入内固定治疗儿童肱骨外髁骨折是较为理想的方法。 目的：综述可吸收螺钉置入治疗小儿肱骨髁上骨折的研究进展。 方法：应用计算机检索2000-01/2011-08万方数据库、维普数据库及PubMed数据库有关可吸收螺钉置入内固定治疗小儿肱骨髁上骨折的相关文章，检索词为“可吸收螺钉，内固定，儿童，肱骨髁上骨折，absorbable screw，fracture fixation，supracondylar fracture”。共检索到文献79篇，最终纳入符合标准的文献20篇。 结果与结论：目前临床上多倾向于手术开放复位植入物内固定治疗小儿肱骨髁上骨折，以克氏针交叉置入内固定应用最为广泛。随着置入内固定材料的发展，人们逐渐认识到可吸收螺钉置入内固定的优点。可吸收螺钉具有较好的韧性，固定加压效果确切。可以对断端施加压力，使骨折端端吻合紧密，置入后骨折块血供迅速恢复，能减少临床愈合时间。可吸收螺钉置入治疗儿童肱骨外髁骨折，方法简单，固定可靠。骨折断端紧密结合，临床愈合时间缩短，疗效确切，是一种较好的置入内固定治疗方法 关键词：可吸收螺钉；肱骨髁上骨折；儿童；内固定；材料；综述文献 doi:10.3969/j.issn.1673-8225.2012.13.035

Absorbable screw implantation for humeral supracondylar fracture in children

BACKGROUND: Absorbable screw internal fixation is an ideal treatment for humeral lateral condyle fracture in children. OBJECTIVE: To summarize research advances in absorbable screw implantation for humeral supracondylar fracture in children. METHODS: A computer-based online search of Wanfang, VIP and PubMed database was performed for articles related to absorbable screw internal fixation for humeral supracondylar fracture in children, published between January 2000 and August 2011 with key words “absorbable screw, internal fixation, children, humeral supracondylar fracture” in Chinese and English. A total of 79 articles were selected and 20 were included. RESULTS AND CONCLUSION: Open reduction and internal fixation have been clinically used to treat humeral supracondylar fracture in children. And crossing Kirschner wire has been extensively used in the internal fixation. With developing internal fixation materials, absorbable screws exhibit advantages as internal fixtor. Absorbable screw has tenacity and precise fixation and compression effects, allowing pressure to the broken ends and tight end-to-end anastomosis for the fracture. Moreover, the blood supply of fracture site rapidly recovers following screw implantation, which reduces duration for clinical healing. Moreover, absorbable screw for humeral supracondylar fracture in children is simple and reliable in effects. It tightly fixes the fractured ends, shortens healing duration, with precise treatment effects. Therefore, it is a good option for internal fixation of humeral supracondylar fracture in children.