单纯交叉克氏针内固定治疗儿童尺骨鹰嘴骨折的效果分析

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Abstract Objective To compare the clinical efficacies of crossed K-wire fixation and K-wire combined with tension band internal fixation in the treatment of children′s olecranon and to discuss the surgical indications.Methods A total of 48 children with olecranon fractures treated in our department from January 2014 to December 2015 were selected and divided into the group of K-wire fixation （K-W group）（22 cases） and the group of tension band wiring （TBW group）（26 cases） according to the surgery procedure.The K-W group was treated with open reduction and crossed K-wires fixation and the TBW group was treated with open reduction and tension band wiring fixation.The incision length,the duration of the surgery,the intraoperative blood loss,the duration of immobilization,postoperative complications,and elbow function evaluation were compared between the two groups.Results The incision length in the of K-W group was shorter than that in the TBW group,duration of surgery and cast immobilization,intraoperative blood loss in the K-W group were losser than that in the TBW group,postoperative complications in the K-W group was lower than that in the TBW group,duration of the surgery and the duration of immobilization was shorter than that in the TBW group,which had significant differences(P＜0.05）.There was no significant difference in elbow function evaluation between the two groups(P＞0.05）.Conclusion The use of crossed K-wire without tension band in the treatment of olecranon fractures in children is safe and effective,and has advantages in reducing surgical injuries.

Key words： Children Olecranon fracture Kirschner wire Tension band

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	Articles by authors
	WU De-chao
	HAN Jing-ming
	YOU Chao
	XIA Yong-jie
	WANG Jian-sheng

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WU De-chao,HAN Jing-ming,YOU Chao, et al. Analysis of treatment results of internal fixation with crossed K-wire on olecranon fracture in children[J]. 中国当代医药, 2018, 25(23): 98-101.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I23/98

[1]	Landin LA，Danielsson LG.Elbow fractures in children.An epidemiological analysis of 589 cases[J].Acta Orthop Scand，1986，57（2）：309-311.
[2]	Guarino J，Tennyson S，McCain G，et al.Rapid prototyping technology for surgeries of the pediatric spine and pelvis：benefits analysis[J].J Pediatr Orthop，2007，27（8）：955-960.
[3]	Morrey BF.Current concepts in the treatment of fractures of the radial head，the Olecranon，and the coronoid[J].J Bone Joint Surg Am，1996，78（6）：969.
[4]	Broberg MA，Morrey BF.Results of treatment of fracture dislocations of the elbow[J].Clin Orthop Relat Res，1987，216（3）：109-119.
[5]	郑超，李明.克氏针张力带钢丝治疗儿童MayoⅡ型尺骨鹰嘴骨折[J].重庆医科大学学报，2016，41（5）：495-498
[6]	李毅力，刘星，李明，等.应用张力带钢丝和钢板内固定治疗儿童尺骨鹰嘴骨折的效果评价[J].中华实用儿科临床杂志，2016，31（10）：795-797.
[7]	郭建邦，李晓彬，刘展亮.可吸收张力带内固定治疗儿童尺骨鹰嘴骨骺骨折[J].中国骨与关节损伤杂志，2015，30（3）：281-283
[8]	Phadnis J，Watts AC.Tension band suture fixation for olecranon fractures[J].Shoulder Elbow，2017，9（4）：299-303
[9]	Kim TH，Lee DH，Han KJ，et al.Early range of motion exercise in pediatric patients with olecranon fractures treated with tension band suture with double loops and double knots[J].J Shoulder Elbow Surg，2017，26（7）：e227-e231
[10]	WillingerL，Lucke M，Cronlein M，etal.Malpositioned olecranon fracture tension-band wiring results in proximal radioulnar synostosis[J].Eur J Med Res，2015，29（20）：87-92.
[11]	翁刘其，李明，马玲，等.张力带别针系统在儿童尺骨鹰嘴骨折治疗中的应用[J].第三军医大学学报，2015，37（21）：2310-2312
[12]	Gicquel P，Maximin MC，Boutemy P，et al.Biomechanical analysis of olecranon fracture fixation in children[J].J Pediatr Orthop，2002，22（1）：17-21
[13]	朱三友.克氏针张力带内固定治疗尺骨鹰嘴骨折63例疗效分析[J].中国现代手术学杂志，2009，13（1）:45-48.
[14]	周炎，刘世清，瞿新丛.3种克氏针张力带固定方法治疗尺骨鹰嘴骨折的疗效比较[J].实用骨科杂志，2014，20（7）：642-644
[15]	马辕华.两种克氏针张力带固定方案治疗WadsworthⅡ、Ⅲ型尺骨鹰嘴骨折的临床体会[J].创伤外科杂志.2016，18（3）：160-162.