半无菌技术治疗小儿肱骨髁上骨折

Closed reduction and percutaneous pinning of supracondylar humerus fractures in children using a semi-sterile半无菌 technique in a low resource south Asian setting: infection rate and functional outcome

Tropical Doctor, 2017:004947551771658.

percutaneous

/ˌpɜːrkjuːˈteɪniəs/

adj. 经皮的；经由皮肤的

supracondylar

adj. 髁上的

摘要：

The purpose of this study was to determine确定 infection rate and functional outcome after percutaneous pinning of supracondylar humeral fractures using a semi-sterile technique. A total of 183 children were treated in this fashion between 2008 and 2014. They were evaluated for postoperative infection and other complications并发症. Clinical evaluation was made using Flynn's criteria肘关节评分标准. Only seven patients (4%) developed superficial pin tract infections, which all settled with pin tract dressings and oral antibiotics. Loss of reduction was seen in 22 (12%) patients, cubitus varus 肘内翻in six (3%) and nerve injury in four (2%). Outcome was excellent in 161 (88%), good in 15 (8%) and fair in seven (4%). These data demonstrate that the infection rate using this technique is low and the technique is simple to manage.

有道翻译：

本研究的目的是利用半无菌技术确定肱骨髁上骨折经皮钉扎后的感染率和功能预后。2008年至2014年间，共有183名儿童接受了这种治疗。对术后感染和其他并发症进行评估。临床评估采用弗林标准。仅有7例(4%)发生浅表针道感染，均以针道敷料和口服抗生素解决。复位丧失的有22例(12%)，肘内翻6例(3%)，神经损伤4例(2%)。结果是优秀的161(88%)，良好的15(8%)和公平的7(4%)。这些数据表明，使用该技术的感染率较低，且易于管理。

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