未经授权:外侧髁骨折是第二常见的小儿肘部骨折。内部固定存在多种选择,包括埋入式K线,未埋设的K线,和螺钉固定。我们的研究旨在回顾目前的文献,并确定固定策略是否会影响结果,包括骨折愈合,术后活动范围,需要后续手术.
未经评估:对Pubmed,MEDLINE,并进行了EMBASE数据库。纳入的文章涉及接受内固定治疗的外侧髁移位骨折的儿科患者,报告的结果包括愈合率和并发症。
UNASSIGNED:13项研究符合纳入标准,共1299名患者(472根埋线,717根未埋设的K线,和110个螺钉)。患者平均年龄为5.8±0.6岁,男性(64%),并进行了16.3个月的随访。没有发现工会和感染率的差异。未掩埋的K线术后愈合时间最短,肘关节运动范围最大。
UNASSIGNED:我们的系统评价表明,所有固定技术之间的结合和感染率相似。未掩埋的K线显示出更短的愈合时间和最大的术后运动范围。此外,未掩埋的K线可以在临床上移除,降低医疗保健系统的成本。
未授权:3级。
UNASSIGNED: Lateral condyle fractures are the second most common pediatric elbow fracture. There exist multiple options for internal fixation including buried K-wires, unburied K-wires, and screw fixation. Our study aims to
review the current literature and determine if fixation strategy affects outcomes to include fracture union, postoperative range of motion, and need subsequent surgery.
UNASSIGNED: A systematic
review of Pubmed, MEDLINE, and EMBASE databases was performed. Included articles involve pediatric patients with displaced lateral condyle fractures treated with internal fixation that reported outcomes to include union rates and complications.
UNASSIGNED: Thirteen studies met inclusion criteria for a total of 1299 patients (472 buried K-wires, 717 unburied K-wires, and 110 screws). The patients\' average age was 5.8 ± 0.6 years, male (64%), and had 16.3 months of follow-up. No differences in union and infection rates were found. Unburied K-wires had the shortest time to union and the greatest elbow range of motion postoperatively.
UNASSIGNED: Our systematic
review demonstrates similar outcomes with union and infection rates between all fixation techniques. Unburied K-wires demonstrated a shorter time to union and the greatest postoperative range of motion. Additionally, unburied K-wires may be removed in clinic, decreasing the cost on the healthcare system.
UNASSIGNED: Level 3.