可吸收钉、棒内固定治疗儿童肱骨内上髁骨折

Internal fixation with bioabsorbable screw and stick in the treatment of humerus epicondyle fracture

摘要:

目的：探讨可吸收钉、棒内固定治疗儿童肱骨内上髁骨折的疗效及优缺点。方法：2009-2011年我院采用切开复位可吸收钉、棒内固定治疗儿童肱骨内上髁骨折23例，术后外固定3周后早期功能锻炼，随访6个月～3年，平均18个月。结果：本组23例均获得随访，骨折愈合23例，肘关节功能优20例，良3例，劣0例，优良率100%。结论：可吸收钉、棒内固定治疗儿童肱骨内上髁骨折能达到满意的骨折复位及牢固的内固定效果。可吸收材料在体内随着时间推移自行分解对人体无害，不影响影像学检查，无需二期手术取出内固定材料。术后可行早期功能锻炼，骨折愈合效果肯定，不影响关节功能及骨骺发育。

Abstract:

Objective：To quantify the possibility and efficacy of internal fixation with bioabsorbable screw and stick in the treatment of humerus epicondyle fracture. Methods：Totally 23 children with humerus epicondyle fracture who received internal fixation using bio-absorbable screw and stick from 2008 to 2009 were enrolled. Functional exercise was taken 3 weeks after the operation. Follow-up lasted for 6 months to 3 years，18 months in average. Results：All 23 cases were followed up and healed. Function of the elbow joint was excellent in 20 cases，good in 3 cases and bad in 0 case，with good and excellent rate being 100%. Conclusions：With satisfactory fracture reduction and firm internal fixation，bioabsorbable screw and stick is effective in the treatment of humerus epicondyle frac－ture. Bioabsorbable screw and stick will break down as time goes by，without harming human body influencing imaging examination. The second stage operation is needed to take out the materials. Early functional exercise is conductive to promoting the healing results. El－bow function development of the epiphysis will not be affected.