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儿童迟发性移位外侧髁闭合性肱骨骨折的功能和影像学结果。

Functional and Radiological Outcome in Delayed Presenting Closed Displaced Lateral Condyle Fracture of Humerus in Children.

机构信息

Department of Orthopedic Surgery, Pakistan Society for Rehabilitation of Disabled, Lahore, Pakistan.

Department of Orthopedic Surgery, King Edward Medical University / Mayo Hospital, Lahore, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2021 Jan;31(1):107-109. doi: 10.29271/jcpsp.2021.01.107.

Abstract

This prospective cohort study was conducted from  July 2013 to May 2019. The functional and radiological outcome in displaced, neglected fracture of lateral condyle of the humerus treated with open reduction and internal fixation (ORIF) with Kirschner wire was assessed. The sample size was 44 children aged between 2 to 15 years Milch type I and II displaced lateral condyle of humerus fracture, four weeks and older were included. Carrying angle and infection was assessed clinically. Union and elbow functions were evaluated radiologically using the Mayo elbow score. The mean age of the children was 6.82 ± 2.83 years. Fracture was Milch type I in 11 (25%), and type II in 33 (75%). Pre- and post-operatively, Mayo elbow score was 3.63 ± 0.57 and 1.56 ± 0.50, respectively. Good to excellent functional outcome, and union was observed in delayed presenting lateral condyle of humerus fractures. Key Words: Lateral condyle humerus, Children, Delayed presentation, Mayo elbow score.

摘要

本前瞻性队列研究于 2013 年 7 月至 2019 年 5 月进行。评估了采用切开复位内固定(ORIF)克氏针治疗外侧髁移位、忽视性肱骨骨折的功能和影像学结果。样本量为 44 名年龄在 2 至 15 岁之间的儿童,Milch Ⅰ型和Ⅱ型外侧髁肱骨骨折,发病时间超过四周。通过临床评估携带角和感染情况。使用 Mayo 肘评分系统对骨愈合和肘部功能进行影像学评估。儿童的平均年龄为 6.82 ± 2.83 岁。11 例(25%)为 MilchⅠ型,33 例(75%)为 MilchⅡ型。术前和术后 Mayo 肘评分分别为 3.63 ± 0.57 和 1.56 ± 0.50。延迟出现的外侧髁肱骨骨折的功能结局良好至优秀,且均愈合。关键词:肱骨外侧髁、儿童、延迟出现、Mayo 肘评分。

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