Zhao Huricha,Xiong Zixuan,Gao Yuan,et al.Research Progress in the Treatment of Supracondylar Humerus Fracture in Children with Joystick assisted Closed Reduction Technique[J].Journal of Clinical Pediatric Surgery,2023,22(05):496-500.[doi:10.3760/cma.j.cn101785-202207044-018]
操纵杆辅助闭合复位技术治疗儿童肱骨髁上骨折的研究进展
- Title:
- Research Progress in the Treatment of Supracondylar Humerus Fracture in Children with Joystick assisted Closed Reduction Technique
- 摘要:
- 肱骨髁上骨折是儿童常见的骨折类型,好发于5~8岁儿童。目前,有移位的儿童肱骨髁上骨折首选闭合复位经皮克氏针内固定(closed reduction and percutaneous pinning,CRPP)治疗,其优点包括创伤小、疼痛轻、出血量少,可减少对骨折周围软组织以及血运的破坏,且显著降低患肢感染的发生率。但是对于某些难复性Gartland Ⅲ型或Gartland Ⅳ型骨折,术中常因反复尝试闭合复位失败而迫使术者选择切开复位治疗,而该治疗方法可能增加并发症发生风险,导致患者预后不良。近年来,为提高闭合复位的成功率,诸多学者提出了多种经不同部位实施操纵杆辅助闭合复位治疗儿童肱骨髁上骨折的手术改进方案。本文就目前操纵杆技术的临床应用现状以及未来研究的方向进行综述。
- Abstract:
- Supracondylar humerus fracture is a common type of fracture in children, mostly occurring in children aged 5-8 years. Currently preferred treatment for displaced supracondylar humeral fractures is closed reduction and percutaneous pinning (CRPP).The advantages of closed reduction and percutaneous pinning are minimal trauma,less pain and less hemorrhage to adjacent soft tissue and blood flow.And also it significantly lowers the incidence of limb infection.However,for some refractory Gartland type III/IV fractures,the failure of repeated closed reductions often forces the operator to choose open reduction with various perioperative complications and a poor prognosis.In recent years,for improving the success rate of closed reduction,many scholars have proposed a variety of modified surgical techniques for supracondylar humeral fractures of humerus in children by using joystick assisted closed reduction at different locations.This review summarized the clinical applications,advantages and disadvantages of joystick technology and discussed the direction of future researches to provide references for pediatric orthopedic surgeons.
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备注/Memo
收稿日期:2022-7-24。
基金项目:内蒙古自治区科技计划项目(2021GG0207)
通讯作者:韦宜山,Email:3276844912@qq.com