Young Sven, Fevang Jonas M, Gullaksen Gunnar, Nilsen Per T, Engesæter Lars B
Department of Orthopaedic Surgery, Haukeland University Hospital, 5021 Bergen, Norway.
Adv Orthop. 2012;2012:958487. doi: 10.1155/2012/958487. Epub 2012 Feb 19.
Aim. The aim of this study was to see whether the benefits of crossed wire fixation over skeletal traction in the treatment of pediatric supracondylar humerus fractures (SCHF) were mirrored in the children's or their caregivers' rating of the experience. Methods. As part of a study of the clinical outcome of SCHF, all the patients and the parents were asked to rate their experience of the treatment on a visual analogue scale (VAS). Results. There was no difference in the patients' or the parents' experience between the treatment groups. However there was a difference between the parents with children who experienced a neurovascular complication (mean VAS 6.1) and those that did not (mean VAS 4.3, P = 0.03). The boys rated the experience as less negative (mean VAS 3.6) than the girls (mean VAS 4.7, P = 0.02). Conclusion. In the long term, avoiding complications was more important to the parents than the choice of treatment for SCHF in the children.
目的。本研究的目的是探讨在小儿肱骨髁上骨折（SCHF）治疗中，交叉克氏针固定相对于骨牵引的益处是否反映在患儿或其 caregivers 对治疗体验的评价中。方法。作为 SCHF 临床结局研究的一部分，所有患者及其父母均被要求通过视觉模拟量表（VAS）对治疗体验进行评分。结果。治疗组之间患者或父母的体验没有差异。然而，孩子发生神经血管并发症的父母（平均 VAS 6.1）与未发生并发症的父母（平均 VAS 4.3，P = 0.03）之间存在差异。男孩对治疗体验的负面评价（平均 VAS 3.6）低于女孩（平均 VAS 4.7，P = 0.02）。结论。从长远来看，对父母而言，避免并发症比为患儿选择 SCHF 的治疗方法更为重要。
