Children Humerus Fractures Of The Clinical Research On Condyle

ObjectiveComparative study on children humerus fractures condylar clinical common two treatment methods, discusses various fractures conditions and treatment options, further direct relevance of clinical research.MethodsObserve cases of guangzhou university of Chinese traditional medicine first affiliated hospital a orthopaedic and horizontal hillock people's hospital in 2010 orthopedic January-December 2010 seeking met inclusion criteria of patients, a total of 63. He divided into gram needle group (33 cases) and plywood group (30 cases), gram closed reduction by needle group, percutaneous pin fixation cross gram; Plywood group reset and use technique fir skin small plywood external fixation. Observe after treatment group 2 hurt limb 3,7 days swelling, pain and degree of 3 months after treatment and the function activities treatment costs, always use statistics packages by mathematical statistics analysis SPSS13.0 to compare the superiority.ResultsBased on the first three days and swollen after treatment for the first seven days after treatment, and the pain after the first three days and treatment for the first seven days after treatment, three months after treatment function activities, total treatment fees indexes, through statistical analvsis to obtain the result. 1. According to the evaluation criteria, the swelling of 33 patients gram needle in children with the first three days after treatment needle gram 29 cases improved, swelling of 16 cases, treatment of splint 7 day gram 30 cases improved needle group, plywood group swelling of the 19; Use non-parameter test (Wilcoxon inspection), contrast, show significant postoperatie swelling degree gram needle group was higher than the plywood group.2. The pain assessment standards, according to 33 patients gram in children with needle before treatment of pain score gram needle group5.7±1.4, plywood group 5.4±1.5; The first three days after treatment of 3.9±1.3, plywood group 5.3±1.5; For the first seven days after treatment needle gram of 1.5±1.8, plywood group 3.3±1.6. Gram of group compared with plywood needle treatment 0.415 before, P=>0.05, there is no statistical significance. The first three days after treatment, P=0.000<0.05, existing statistical significance. For the first seven days after treatment, P=0.000<0.05, existing statistical significance. Gram needle in comparison:after treatment way before the first 3 days and treatment compared, P=0.000<0.05, existing statistical significance. For the first seven days after treatment compared with before treatment, P=0.000<0.05, existing statistical significance. Plywood comparative:after treatment within the way before the first 3 days compared with treatment, P=0.342>0.05, there is no statistical significance. For the first seven days after treatment compared with before treatment, P =0.000<0.05, existing statistical significance.3. According to Fly-mn evaluating standard, such as function recovery after 3 months of gram needle only 3 cases of poor, but splint group 9 cases, use non-parameter test (Wilcoxon inspection), draw after 3 months function activity gram needle group and plywood group contrast are significant.4. Through to the patient outpatient service and be in hospital expenses combined statistics, gram for 5434 needle group average cost of yuan, and splinting 2233 yuan, for the average fee by t-test, P<0.05, contrast are significant.Conclusions 1. Gartland distribution analysis, from cases of fracturesⅡtype,Ⅲof 92%; Gartland typeⅠfracture accounted for only 8%, because such fracture with traditional Chinese medicine splinting majority without hospital, the fixation of the research, data were retrospectively studied belongs to incomplete not in this study. Therefore, data statistics more suitable for GartlandⅢ,Ⅱtype, type of fracture, but for Gartland typeⅠfracture existence bias.2, Data statistics, for GartlandⅡtype, type of fracture,Ⅲin clinical indicators such as swelling, pain, function recovered, gram needle obviously superior to splint group; group But in economic cost comparison is clearly superior, plywood group gram needle group. Therefore, fracture treatment should be according to the specific conditions of use individual treatment, from the clinical curative effect, economic cost, comprehensive benefit Gartland than speaking,Ⅱtype fracture forⅠ°, swelling degreeⅡ°, Gartland of fracturesⅢforⅠ°, swelling degree more suitable for using traditional Chinese medicine gimmick reset, plywood fixation; outside Gartland of fracturesⅡ°, forⅢswelling degree of fractures Gartland III forⅡ°, swelling degreeⅢ°, more suitable for using traditional Chinese medicine gimmick reset basis gram needle fixation.