摘要
目的:总结GartlandⅢ型肱骨髁上骨折,分别应用肘关节后侧、外侧、内侧切口手术治疗的体会。方法:对46例GartlandⅢ型肱骨髁上骨折患儿,分别采用肘关节后侧、外侧、内侧切口,直视下复位骨折并用2枚克氏针固定,石膏固定4周。结果:46例患儿全部随访1年,根据Flynn标准,其中内侧和外侧小切口术后恢复良好率达94.1%,后侧正中切口良好率为50.0%。结论:肘内侧切口是手术治疗GartlandⅢ型儿童肱骨髁上骨折的首选切口。切口美观有利于准确复位,能够避免神经损伤,后期肘关节功能恢复好。
Objective： To compare the outcomes of the posterior,lateral and medial surgical approaches in the treatment of supracondylar humerous fracture of type Gartland Ⅲ in children. Methods： 46 patients of type Gartland Ⅲ supracondylar humerous fracture were treated through the posterior,lateral and medial surgical approaches. Open reduction and Kirschwire fixation were executed followed by 4 weeks cast fixation. Results： All the patients were followed-up for at least 1 year.According to Flynn outcome classification,those treated through lateral and medial surgical approaches had a satisfactory result in 94.1% of the patients, while the posterior approach only got 50.0% satisfaction. Conclusion： The medial surgical approach is the first option in treating supracondylar humerous fracture of type Gartland Ⅲ in children. It facilitates good reduction, avoids neurological complication and also offers good elbow function with less cosmetic problem.
出处
《中国当代医药》
2010年第7期36-37,共2页
China Modern Medicine
关键词
肱骨髁上
骨折
手术入路
石膏固定
Supracondylar humerous
Fracture
Surgical approaches
Cast fixation
