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闭合复位夹板固定治疗Salter-HarrisⅡ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 typeⅡchildren with distal radius epiphysis injury
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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-HarrisⅡ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-HarrisⅡ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。 [Objective]To retrospectively analyze the efficacy of closed reduction splint fixation in the treatment of Salter-Harris typeⅡchildren with distal radius epiphyseal injury.[Methods]A total of 137 Salter-Harris typeⅡchildren 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 typeⅡchildren with distal radius epiphyseal injury with high prognosis rate.
作者 邢加辉 范桐顺 李泽佳 刘鸣峻 刘丽民 赵洪洲 XING Jiahui;FAN Tongshun;LI Zejia;LIU Mingjun;LIU Limin;ZHAO Hongzhou(Department of Orthopedics and Traumatology of Integrated Chinese and Western Medicine,Tianjin Hospital,Tianjin 300211,China)
出处 《天津中医药大学学报》 CAS 2021年第5期600-603,共4页 Journal of Tianjin University of Traditional Chinese Medicine
关键词 闭合复位 骨骺损伤 Salter-HarrisⅡ型 closed reduction epiphyseal injury Salter-Harris typeⅡ
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