摘要
目的:观察小儿肱骨髁上骨折不同治疗方法的中长期疗效。方法:采用闭合手法复位石膏外固定和切开复位克氏针内固定两种方法治疗小儿肱骨髁上骨折86例。观察骨折愈合时间、关节功能、肘内翻发生情况及角度。结果:术后随访18～84个月,平均49个月。骨折愈合时间平均5周。随访终末肘关节功能评分优良率为87.2%,测定CA角15.38°±3.73°,BA角28.55°±3.23°,TA角8.75°±1.38°,肘内翻发生率4.65%。结论:严格掌握肱骨髁上骨折各种治疗方法的适应证,良好的复位,定期复查,早期功能锻炼,可减少后遗症及并发症的发生。
Objective：TO observe the metaphase and long-term efficacy of different managements of supracondylar fracture of the humerus in children.Methods： Eighty-six cases of humeral supracondylar fracture in children were treated with 2 types of therapy： close manipulative reduction plus plaster external fixation and open reduction combing internal fixation with Kirschner wire.The healing time of the fracture,joint function,the occurrence of cubitus varus were observed.Results： The follow-up duration ranged from 18 to 84 months with an average of 49 months.The mean healing time was 5 weeks.At the end of follow-up,elbow function score got an excellent rate of 87.2%,with CA angle（15.38± 3.73）°,BA angle（28.55 ± 3.23）° and TA angle（8.75 ± 1.38）°,and the incidence rate of cubitus varus in 4.65%.Conclusion：Strict indications,good reduction,regular review,and early exercise can reduce the incidence of residuals and complications.
出处
《中国中医骨伤科杂志》
CAS
2009年第4期41-42,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
肱骨髁上骨折
石膏外固定
内固定
肘内翻
Supracondylar fracture of the humerus
Plaster external fixation
Internal fixation
Cubitus varus
