经肱骨内髁小切口克氏针交叉内固定治疗儿童肱骨髁上骨折的疗效评价

Evaluation of the Efficacy of Small Incision Kirschner’s Pin Cross Internal Fixation via the Medial Humeral Condyle in the Treatment of Supracondylar Humerus Fracture in Children

摘要: 目的：对经肱骨内髁小切口克氏针交叉内固定治疗儿童肱骨髁上骨折的疗效进行分析。方法：选取2018年1月至2023年12月因肱骨髁上骨折在北华大学附属医院治疗的80例儿童，随机分为对照组、研究组，均40例，对照组实施经皮克氏针交叉内固定治疗，研究组使用经肱骨内髁小切口克氏针交叉内固定治疗，观察治疗效果。结果：研究组手术时间较对照组短，骨折部位愈合时间较对照组长，VAS评分较对照组低，P < 0.05；研究组术后6个月的肘关节活动度较对照组高，P < 0.05；两组总的并发症比较：研究组的并发症发生率要低于对照组，P < 0.05；研究组和对照组的优良率分别为95%和90%，研究组略高于对照组，P > 0.05。结论：儿童肱骨髁上骨折使用经肱骨内髁小切口克氏针交叉内固定治疗，整体效果理想，患儿手术时间短，术后VAS评分低，肘关节活动度理想，术后并发症发生率低，使用可行性价值好。

Abstract: Objective: An analysis of the efficacy of small incision Kirschner pin cross internal fixation via the medial humeral condyle in the treatment of supracondylar humeral fractures in children. Methods: Eighty children who were treated in the Affiliated Hospital of Beihua University for supracondylar humerus fracture from January 2018 to December 2023 were selected and randomly divided into the control group and the study group, both of which were 40 cases; the control group implemented percutaneous Kirschner’s pin cross-internal fixation treatment, and the study group was treated with Kirschner’s pin cross-internal fixation using a small incision through the inner condyle of the humerus, and the treatment effects were observed. Results: The operation time of the study group was shorter than that of the control group, the healing time of the fracture site was longer than that of the control group, and the VAS score was lower than that of the control group, P < 0.05; the elbow mobility of the study group was higher than that of the control group at 6 months after the operation, P < 0.05; comparing the total number of complications between the two groups, the rate of complications in the study group was lower than that in the control group, P < 0.05; the excellent rates of the study group and the control group were 95% and 90%, respectively, with the study group being slightly higher than the control group, P > 0.05. Conclusion: The overall results of supracondylar humerus fractures in children treated with cross-internal fixation using Kirschner pins through a small incision in the medial condyle of the humerus are ideal, with short operative time, low postoperative VAS scores, ideal elbow mobility, and a low rate of postoperative complications, which makes it a good value for feasibility of use.