儿童指骨颈骨折的短臂夹板同伴绑扎与手术治疗的比较
Comparison Between Buddy Taping With a Short-Arm Splint and Operative Treatment for Phalangeal Neck Fractures in Children.
作者信息
Park Kun Bo, Lee Kwang Jin, Kwak Yoon Hae
机构信息
*Department of Orthopaedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Gimhae-si, Gyeongsangnam-do, South Korea †Department of Orthopaedic Surgery, Hallym Sacred Heart Hospital, Hallym University College of Medicine, Dongan-gu, Anyang-si, Gyeonggi-do, Korea.
出版信息
J Pediatr Orthop. 2016 Oct-Nov;36(7):736-42. doi: 10.1097/BPO.0000000000000521.
BACKGROUND
Phalangeal neck fractures in children are difficult to treat conservatively because of the difficulty in maintaining reduction, obtaining satisfactory follow-up x-rays, and the limited remodeling potential. The purpose of this study was to present the results after using buddy taping with a short-arm splint for phalangeal neck fracture in children and to compare with operative treatment.
METHODS
Thirty-seven patients below 12 years old who had phalangeal neck fractures were included. Nineteen patients were underwent conservative treatment and 18 patients were underwent operative fixation with Kirschner wires. Clinical outcome and radiographs between groups were compared.
RESULTS
There were no significant differences between conservative group and operative group in the sagittal angulation, coronal angulation, and translation at immediately after reduction, at the 6-week, and final follow-up examination.
CONCLUSION
Buddy taping with a short-arm splint for treating phalangeal neck fractures had acceptable outcomes compared to that with surgical correction.
背景
儿童指骨颈骨折由于难以维持复位、获得满意的随访X线片以及重塑潜力有限，保守治疗较为困难。本研究的目的是介绍使用短臂夹板联合胶带法治疗儿童指骨颈骨折的结果，并与手术治疗进行比较。
方法
纳入37例12岁以下的指骨颈骨折患者。19例患者接受保守治疗，18例患者接受克氏针手术固定。比较两组的临床结果和X线片。
结果
保守组和手术组在复位后即刻、6周及最终随访时的矢状角、冠状角和平移方面均无显著差异。
结论
与手术矫正相比，使用短臂夹板联合胶带法治疗指骨颈骨折的效果尚可。
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