闭合复位夹板固定治疗Salter-Harris Ⅱ型儿童桡骨远端骨骺损伤疗效分析

Efficacy analysis of closed reduction and splint fixation in the treatment of Salter-Harris type Ⅱ children with distal radius epiphysis injury

关键词:  闭合复位  骨骺损伤  Salter-HarrisⅡ型

Key words:  closed reduction  epiphyseal injury  Salter-Harris type Ⅱ

摘要:

[目的] 回顾分析天津市天津医院闭合复位夹板固定治疗Salter-Harris Ⅱ型儿童桡骨远端骨骺损伤的疗效。[方法] 回顾自2019年9月-2020年3月经急诊闭合复位夹板外固定治疗，且完成随访的137例Salter-Harris Ⅱ型儿童桡骨远端骨骺损伤病例，随访周期6~12个月，其中复位后3 d内复查再移位进行再次复位患者4例。[结果] 随访患者均骨性愈合，与健侧等长，参照Gartland-Werley腕关节评分表，优129例，良8例，优良率达100%。[结论] 闭合复位夹板外固定治疗Salter-HarrisⅡ型儿童桡骨远端骨骺损伤预后优良率高，是一种安全有效的治疗方法。

Abstract:

[Objective] To retrospectively analyze the efficacy of closed reduction splint fixation in the treatment of Salter-Harris type Ⅱ children with distal radius epiphyseal injury.[Methods] A total of 137 Salter-Harris type Ⅱ children with distal radius epiphyseal injury treated with emergency closed reduction splint external fixation from September 2019 to March 2020 and followed up for 6~12 months were reviewed. Among them, re-displacement was found within 3 days after reduction, and 4 patients underwent secondary reduction.[Results] All patients were followed up with bone healing, which was consistent with the length of the healthy side. Referring to the Gartland-Werley wrist score table, 129 cases were excellent, 8 cases were good, and the excellent and good rate reached 100%.[Conclusion] Closed reduction and splint external fixation is a safe and effective treatment for type Ⅱ children with distal radius epiphyseal injury with high prognosis rate.