Department of Orthopaedics, Jiangxi Provincial Children's Hospital, Nanchang City, Jiangxi Province, 330006, China.
Department of Endocrinology, Genetics and Metabolism, Jiangxi Provincial Children's Hospital, Nanchang City, Jiangxi Province, 330006, China.
Comput Math Methods Med. 2022 Jul 4;2022:6840716. doi: 10.1155/2022/6840716. eCollection 2022.
A radius neck fracture in children is a common fracture that not only affects the growth and development of children but also has a certain impact on the function of children's elbow joints.
To probe into the application value of ultrasonography- (US-) guided combination with elbow arthrography in the minimally invasive treatment of radial neck fractures in young children, summarize its clinical effect and provide a minimally invasive, safe, effective, and reliable method for treating radial neck fractures in young children.
Seventy-three patients with type III or IV radial neck fractures were treated from June 2013 to December 2020 and were divided into the Métaizeau group ( = 31, treatment group) and Kirschner wire (-wire) -wire group ( = 42, control group). The Métaizeau group was given US-guided combination with elbow arthrography-assisted modified technique, the -wire group received open reduction and internal fixation with -wire and compared the surgical effect of the two groups.
In comparison with the -wire group, time of operation, intraoperative bleeding volume, and hospital stay were signally junior to those in the Métaizeau group ( < 0.05). After surgery, in comparison with the -wire group, the number of degrees to contralateral flexion or forearm rotation was visually lower in the Métaizeau group ( < 0.05), and postoperative complication incidence in the Métaizeau group was visually lower than that in -wire group ( < 0.05).
In the minimally invasive treatment of radial neck fractures, US-guided combination with elbow arthrography in young children has better efficacy and high safety. It can be widely promoted and applied clinically.
儿童桡骨颈骨折是一种常见的骨折，不仅影响儿童的生长发育，而且对儿童肘关节功能也有一定影响。
探讨超声引导联合肘关节造影在小儿桡骨颈骨折微创治疗中的应用价值，总结其临床效果，为小儿桡骨颈骨折提供一种微创、安全、有效、可靠的治疗方法。
2013 年 6 月至 2020 年 12 月共收治 73 例Ⅲ型或Ⅳ型桡骨颈骨折患儿，分为 Métaizeau 组（n=31，治疗组）和克氏针（-wire）组（n=42，对照组）。Métaizeau 组采用超声引导联合肘关节造影辅助改良技术，-wire 组采用切开复位内固定 -wire 治疗，比较两组手术效果。
与 -wire 组相比，Métaizeau 组的手术时间、术中出血量和住院时间均明显缩短（<0.05）。术后与 -wire 组相比，Métaizeau 组对侧屈伸或前臂旋转角度明显降低（<0.05），Métaizeau 组术后并发症发生率明显低于 -wire 组（<0.05）。
在小儿桡骨颈骨折微创治疗中，超声引导联合肘关节造影具有较好的疗效和较高的安全性，可在临床上广泛推广应用。
