Lee H-Y, Kim S-J
Department of Orthopaedic Surgery, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, 93-6 Ji-dong, Suwon-si, Kyunggi-do, 442-723, Republic of Korea.
J Bone Joint Surg Br. 2007 May;89(5):646-50. doi: 10.1302/0301-620X.89B5.18224.
This study aimed to evaluate the use of pin leverage in the reduction of Gartland type III supracondylar fractures of the humerus in children. The study comprised 95 children, who were split into three groups according to the type of method of reduction used. Group 1, had an open reduction, group 2, had closed reduction and percutaneous pin fixation and group 3, the pin leverage technique. Each group was analysed according to the time to surgery, the duration of the procedure, the incidence of complications, and the clinical and radiological outcome. The mean duration of the operative procedure in groups 1, 2 and 3 was 119 minutes (80 to 235), 57 minutes (20 to 110) and 68 minutes (30 to 90), respectively. At a mean follow-up of 30 months (12 to 63) the clinical results were declared excellent or good in all children and the radiological results intermediate in five patients in group 2. The results of the closed reduction using the pin leverage technique was classified as failure in two children. Our findings lead us to believe that the pin leverage method of reduction gives good results in the treatment of Gartland type III fractures.
本研究旨在评估穿针撬拨法在儿童肱骨髁上GartlandⅢ型骨折复位中的应用。该研究纳入了95名儿童，根据所采用的复位方法类型将他们分为三组。第1组采用切开复位，第2组采用闭合复位经皮穿针固定，第3组采用穿针撬拨技术。对每组分别根据手术时间、手术时长、并发症发生率以及临床和影像学结果进行分析。第1组、第2组和第3组手术操作的平均时长分别为119分钟（80至235分钟）、57分钟（20至110分钟）和68分钟（30至90分钟）。平均随访30个月（12至63个月）时，所有儿童的临床结果均判定为优或良，第2组有5例患儿的影像学结果为中等。采用穿针撬拨技术进行闭合复位的结果在2名儿童中被判定为失败。我们的研究结果使我们相信，穿针撬拨复位法在治疗GartlandⅢ型骨折方面效果良好。
