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改良克氏针交叉固定治疗儿童复杂肱骨髁上骨折 被引量:21

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摘要 目的探讨闭合复位后改良三根克氏针交叉固定治疗儿童复杂肱骨髁上骨折的疗效。方法1998年2月~2004年9月收治的36例复杂肱骨髁上骨折患儿,行闭合手法复位后,采用改良克氏针交叉固定。C型臂监视下在肱骨髁外侧用两根平行的克氏针固定,然后在内侧交叉固定一根克氏针。固定内侧克氏针时,须在保护骨折不移位的情况下小心地伸直肘关节保护好尺神经。术后长臂石膏维持肘关节制动3~4周。结果所有患儿在术后均未出现医源性尺神经损伤。术后随访12~21个月(平均15.8个月),根据Flynn等的功能和美观的标准进行评价,根据美观标准:36例患儿中35例均为优良,满意率为97.2%;根据功能标准:所有患儿均符合满意标准。结论儿童复杂移位的肱骨髁上骨折,用改良的三根克氏针交叉固定疗效良好,而且可以避免尺神经损伤。
出处 《中华创伤骨科杂志》 CAS CSCD 2006年第12期1179-1180,共2页 Chinese Journal of Orthopaedic Trauma
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  • 1Cheng JC, Ng BK, Ying SY, et al. A 10-year stady of the changes in the pattern and treatment of 6493 fractures. J Pediatr Orthop. 1999,19:344-350.
  • 2Lins RE. Simovitch RW. Waters YM. Pediatric elbow trauma. Orthop Clin North Am, 1999,30:119-132.
  • 3Otsuka NY, Kasser JR, Supracondylar fractures of the humerus in children. J Am Acad Orthop Surg, 1997,5:19-26.
  • 4Sutton WR. Greeene WB, Georgopoulos G, et al. Displaced supracondylar humeral fractures in children. A comparison of results and patients treated by skeletal traction versus percutaneous pinning. Clin Orthop. 1992,(278):81-87.
  • 5Garbuz DS. Leitch K. Wright JG. The management of supracondylar fractures of the humerus in children with an absent radial pulse. J Pediatr Orthop. 1996,16:594-596.
  • 6Kallio PE, Foster BK, Paterson DC. Diffieult supracondylar elhow fractures in children: analysis of percutaneous pinning technique, J Pediatr Orthop, 1992.12:11-15.
  • 7Zionts LE. Mckellop HA. Hathaway R. Torsional strength of pin configurations used to fix supracondylar fractures of the humerus in ehildren. J Bone Joint Surg (Am),1993,7:253-256.
  • 8Gartland JJ, Supracondylar fracture of the humerus. Med Trial Tech Q, 1963.10:37-46.
  • 9Flynn JC, Matthews JC, Benoit RL. Blind pinning of displaced supracondylar fractures of the humerus in children. J Bone Joint Surg (Am),1974,56:263-272.
  • 10Lyons JP. Ashley E. HOffer MM. L Inar nerve palsies after percntaneons cross-pinning of supracondylar fractures in children's elbows. J Pediatr Orthop.1998,18:43-45.

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