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首页> 外文期刊>Injury >A systematic review of early versus delayed treatment for type III supracondylar humeral fractures in children.
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A systematic review of early versus delayed treatment for type III supracondylar humeral fractures in children.

机译：对儿童Ⅲ型sup上肱骨骨折的早期治疗与延迟治疗的系统评价。

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摘要

We performed a systematic review of early versus delayed treatment for type III Gartland supracondylar humeral fractures in children. We identified five non-randomised retrospective studies that fulfilled our criteria. We performed the analysis on 396 patients who sustained a type III supracondylar humeral fracture of which 243 (61.4%) belonged to the early treatment group and 153 (38.6%) belonged to the delayed treatment group. The planned treatment was closed reduction and percutaneous pin fixation. We found that failure of closed reduction and conversion to open reduction was significantly higher in the delayed treatment group (22.9%) as compared with the early treatment group (11.1%). Our study provides evidence that type III supracondylar humeral fractures in children should be treated early within 12h of injury.
机译：我们对儿童III型Gartland con上肱骨骨折的早期治疗与延迟治疗进行了系统的回顾。我们确定了五项符合我们标准的非随机回顾性研究。我们对396例患有III型con上肱骨骨折的患者进行了分析，其中243例（61.4％）属于早期治疗组，而153例（38.6％）属于延迟治疗组。计划的治疗是闭合复位和经皮针固定。我们发现，与早期治疗组（11.1％）相比，延迟治疗组（22.9％）的闭合复位失败和转换为开放复位的失败率明显更高。我们的研究提供证据表明，儿童Ⅲ型h上肱骨骨折应在受伤后12h内及早治疗。

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