小儿肱骨髁上骨折：按骨科医生类型的治疗方法
Pediatric supracondylar humerus fractures: treatment by type of orthopedic surgeon.
作者信息
Farley Frances A, Patel Prerana, Craig Clifford L, Blakemore Laurel C, Hensinger Robert N, Zhang Lingling, Caird Michelle S
机构信息
TC109B, University of Michigan Hospitals, 1500 East Medical Center Dr, Ann Arbor, MI, 48105, USA,
出版信息
J Child Orthop. 2008 Mar;2(2):91-5. doi: 10.1007/s11832-008-0089-x. Epub 2008 Feb 27.
Abstract
PURPOSE
Outcomes in children with supracondylar humerus fractures were stratified by type of treating orthopedic surgeon: pediatric orthopedic surgeon and nonpediatric orthopedic surgeon.
METHODS
The outcome factors in 444 children examined included: open reduction rate, complications, postoperative nerve injury, repinning rate, need for physical therapy, and residual nerve palsy at final follow-up.
RESULTS
For the severe fractures, significantly more fractures were treated by open reduction in the pediatric orthopedic surgeon group than in the nonpediatric orthopedic surgeon group. There were no other significant differences in outcomes between the fractures treated by the pediatric orthopedic surgeons and nonpediatric orthopedic surgeons.
CONCLUSIONS
This study supports the assertion that both pediatric and nonpediatric orthopedic surgeons in an academic setting have sufficient training, skill, and experience to treat these common injuries.
摘要
目的
将肱骨髁上骨折患儿的治疗结果按治疗骨科医生类型进行分层：小儿骨科医生和非小儿骨科医生。
方法
对444名儿童的结果因素进行了检查，包括：切开复位率、并发症、术后神经损伤、再次固定率、物理治疗需求以及末次随访时的残留神经麻痹。
结果
对于严重骨折，小儿骨科医生组采用切开复位治疗的骨折明显多于非小儿骨科医生组。小儿骨科医生和非小儿骨科医生治疗的骨折在其他结果方面无显著差异。
结论
本研究支持以下观点，即在学术环境中，小儿骨科医生和非小儿骨科医生都具备足够的培训、技能和经验来治疗这些常见损伤。
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