المضاعفات الباكرة للعلاج الجراحي لكسور فوق اللقمتين العضديتين عند الأطفال وطرق تدبيرها

Authors

  • عزة المحمد
  • أحمد جوني
  • عدي العبد الله

Abstract

شملت الدراسة 40 حالة كسر فوق لقمتين عضديتين عند الأطفال ممن راجعوا مشفى الأسد الجامعي في اللاذقية بين عامي 2013-2014. تراوحت أعمار المرضى بين 2-13 سنة, ونسبة الذكور للإناث كانت 3,4/1 . اليد اليسرى هي الأكثر اصابة بنسبة 77,5%.استخدمنا طريقة الرد المغلق والأسياخ عبر الجلد عند 33 مريض والرد الجراحي مع أسياخ متصالبة عند 7 مرضى. حدثت الاختلاطات بعد العمل الجراحي عند7 مرضى بنسبة 17,5% منها 5اصابات عصبية وحالة واحد لإنتان سطحي حول الأسياخ وحالة واحد لتأخر اندمال, وتم شفاء كلالحالات دون عقابيل.النتائج الوظيفية بعد 5 أشهرمن العلاج الفيزيائي مرضية عند 97% من المرضى المعالجين بالأسياخ عبر الجلد, وعند 71,4% من المرضى المعالجين بالرد الجراحي . The study included 40 cases of supracondylar humeral fracture in children whose attended al-Assad University Hospital in Lattakia between 2013 and 2014. Patients' ages ranged between 2 and 13 years , the ratio of males/female was 3,4/1. Greatest range of injury in left arm 77,5% . Closed reduction and percutaneous pinning was used in 33 patients and open reduction with cross-wiring in 7 patients .Postoperative complications occurred in seven(17,5%) patients. They consisted in iatrogenic nerve injuries in five (12,5%) patients ,one case of infection around the pins ,and one case of nonunion, All recovered without sequels. Satisfactory outcomes were noted after 5 months of physical therapy in 32 (97%) patients in the percutaneous pinning group,and5 (71,4%) patients in the open reduction with cross-wiring group .

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Published

2016-10-04

How to Cite

1.
المحمد ع, جوني أ, العبد الله ع. المضاعفات الباكرة للعلاج الجراحي لكسور فوق اللقمتين العضديتين عند الأطفال وطرق تدبيرها. Tuj-hlth [Internet]. 2016Oct.4 [cited 2024Dec.26];37(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/2030

Issue

Vol. 37 No. 4 (2015): العلوم الصحية

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