Guler O, Mutlu S, Isyar M, Mutlu H, Cerci H, Mahirogullari M
Department of Orthopedics and Traumatology, Medipol University, Medical Faculty, Istanbul, Turkey.
Orthopedics and Traumatology Department, Kanuni Sultan Suleyman Training Hospital, Istanbul, Turkey.
J Orthop Surg (Hong Kong). 2016 Aug;24(2):167-9. doi: 10.1177/1602400209.
To compare the supine versus prone position in closed reduction and percutaneous pinning for supracondylar humeral fractures in children in terms of patient characteristics and outcome.
Records of 25 girls and 31 boys aged 4 to 9 (mean, 6.7) years who underwent closed reduction and percutaneous pinning in the prone (n=27) or supine (n=29) position each by one experienced surgeon for supracondylar extension type-3 humeral fractures were reviewed.
The prone and supine groups were comparable in terms of patient characteristics and outcome, except that anaesthesia duration was shorter in surgery performed in the supine position (46.7 vs. 37.2 minutes, p<0.001).
In surgery for supracondylar humeral fractures in children, patient position affected only the duration of anaesthesia.
比较儿童肱骨髁上骨折闭合复位及经皮穿针固定时仰卧位与俯卧位在患者特征及治疗结果方面的差异。
回顾了25名女孩和31名年龄在4至9岁（平均6.7岁）的男孩的记录，这些患儿均因肱骨髁上3型伸直型骨折由同一位经验丰富的外科医生分别在俯卧位（n = 27）或仰卧位（n = 29）下行闭合复位及经皮穿针固定。
俯卧位组和仰卧位组在患者特征及治疗结果方面具有可比性，除了仰卧位手术的麻醉时间较短（46.7分钟对37.2分钟，p < 0.001）。
在儿童肱骨髁上骨折手术中，患者体位仅影响麻醉时间。
