术后早期综合康复对儿童青少年肱骨髁上骨折伴尺神经损伤的效果

doi:10.3969/j.issn.1006-9771.2024.01.014

Abstract

Abstract:

Objective To observe the therapeutic effect of early postoperative comprehensive rehabilitation on elbow joint dysfunction and ulnar nerve injury in children and adolecents with supracondylar fracture of humerus complicated with ulnar nerve injury.

Methods A total of 49 children with supracondylar fracture of humerus complicated with ulnar nerve injury after operation were selected from January, 2016 to December, 2021 in Wangjing Hospital, which were randomly divided into control group (n = 24) and treatment group (n = 25). The control group accepted wax therapy and acupuncture, and the treatment group accepted medicine fumigation, joint mobilization and electromyographic biofeedback, for twelve weeks. They were assessed with The Hospital for Special Surgery Elbow score (HSS) and Medical Research Neurotrauma Society Report (MCRR) before and after treatment.

Results After treatent, the HSS scores increased in both groups (|t| > 8.345, P < 0.001). The HSS score was significantly higher in the treatment group than in the control group (t = 4.536, P < 0.001). The d-value of HSS scores before and after treatment was significantly higher in the treatment group than in the control group (t = 3.717, P < 0.05). The rate of excellent recovery of ulnar nerve function was significantly higher in the treatment group than in the control group (χ² = 5.975, P < 0.05).

Conclusion Early postoperative comprehensive rehabilitation could romote the recovery of elbow function and ulnar nerve injury in children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury.

Key words: children, youth, supracondylar fracture, ulnar nerve injury, elbow joint dysfunction, early comprehensive rehabilitation

CLC Number:

R683.41

LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.

Figures/Tables 3

References 36

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组别	n	性别(男/女)/n	年龄/岁	损伤侧别(左/右)/n
对照组	24	14/10	6.97±3.15	9/15
治疗组	25	16/9	7.21±3.66	12/13
χ²/t值		0.166	0.241	0.551
P值		0.684	0.811	0.458

组别	n	治疗前	治疗后	差值	t值	P值
对照组	24	27.23±10.92	52.95±11.44	25.72±15.24	-8.345	< 0.001
治疗组	25	26.62±10.63	67.31±10.25	40.69±12.27	-14.000	< 0.001
t值		0.194	4.536	3.717
P值		0.847	< 0.001	0.001

组别	n	优	良	可	差	优良率/%	χ²值	P值
对照组	24	3	7	11	3	41.67	5.975	0.015
治疗组	25	6	13	5	1	76.00	5.975	0.015

Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury

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