手法复位配合夹板外固定治疗儿童前臂骨折的疗效观察

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Abstract Objective To study the clinical efficacy of forearm fractures in children with the treatment of manual reduction and splint external fixation.Methods 68 patients who met the standard forearm fracture criteria were randomly divided into observation group(36 cases)and control group(32 cases).The observation group was treated with manual reduction splint external fixation.There was a total of 36 cases，including 25 males and 11 females，ranging from 6 to 14 in age，with an average of(10.63±3.72)years old.There were 13 cases on the left side and 23 cases on the right side.The time from injury to consultation ranged from 2.5 to 19.0 hours，with an average of(9.60±2.53)hours.The control group was treated with the elastic intramedullary nail fixation.There was a total of 32 cases，including 23 males and 9 females，ranging from 7 to 14 in age，with an average(10.68±3.82)years old；including 11 cases on the left side and 21 cases on the right side.The time from injury to consultation ranged from 2.0 to 19.0 hours，with an average of(9.86±2.38)hours.Then the two groups of patients were compared to estimate the curative effect on fracture healing time，treatment cost and the days of hospitalization and complications，which are based on Anderson score. Results All fractures healed within 9 to 14 weeks，with an average of 12.15 weeks.The difference in healing time between the two groups was not statistically significant(P＞0.05).The treatment cost(2 232.61±81.75)yuan in the observation group was lower than that in the control group(15 730.25±835.52)yuan，the difference was statistically significant(P＜0.05)，the length of stay(6.39±2.43)d was shorter than that in the control group(13.16±2.78)d，and the incidence of complications(16.67%)was lower than that in the control group(53.13%)，the difference was statistically significant(P＜0.05).In comparison of Anderson scores between the two groups，the excellent and good rate was 88.89% in the observation group and 90.63% in the control group.There was no statistically significant difference between the two groups(P＞0.05).Conclusion Manual reduction splint external fixation and elastic intramedullary nail internal fixation can both achieve satisfactory results for forearm fracture.However，manual reduction splint external fixation has the advantages of less trauma，simpler technique，lower cost，shorter hospital stay and fewer complications，which are worthy of recommendation.

Key words： children forearm fracture manual reduction splint elastic intramedullary nail fix

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	Ke Huarong 1
	2
	Guo Yueming 1
	Lu Fengshan 1
	et al

Cite this article:

Ke Huarong 1,2,Guo Yueming 1, et al. Efficacy of Manipulation Reduction and Splint External Fixation in the Treatment of Forearm Fractures in Children[J]. sygkzz, 2020, 26(2): 97-102.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2020/V26/I2/97

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