摘要
目的：观察手法复位双克氏针内固定联合石膏托治疗儿童GartlandⅢ型肱骨髁上骨折的临床疗效。方法66例儿童GartlandⅢ型肱骨髁上骨折采用手法复位双克氏针内固定联合石膏托治疗，观察疗效。结果66例均得到随访，随访时间6个月~2年，平均12个月。骨折全部愈合，无一例尺神经损伤及术后再移位，无Volkmann挛缩或肘内翻畸形。按Flynn 标准评定，优46例，占70%，良20例，占30%。结论对于Gartland Ⅲ型小儿肱骨髁上骨折，“C”型臂X 线机透视下闭合复位经皮克氏针内固定治疗具有手术创伤小，固定可靠，可以获得良好的肘关节功能和外形优点。
Objective To investigate the therapeutic effects of closed reduction and percutaneous Kirschner pin fixation combined with plaster support for the treatment of children with Gartland Ⅲ supracondylar fracture of the humerus.Methods There were 66 children with GartlandⅢ supracondylar fracture of the humerus treated with closed reduction and percutaneous Kirschner pin fixation combined with plaster support. The clinical effects were observed.Results All of 66 patients were followed up, and the duration ranged from 6 to 24 months with the average time of 12 months. All fractures were healed without ulnar nerve injury, postoperative shift, Volkmann contracture, or cubitus varus. According to Flynn criteria, 46 patients were excellent, accounting for 70%, and 20 patients were good, accounting for 30%.Conclusion Closed reduction and percutaneous Kirschner wire fixation combined plaster surpport for the treatment of unstable supracondylar fractures in children has advantages of little trauma, reliable fixation, good elbow function and appearance.
出处
《中国实用医药》
2014年第24期24-25,共2页
China Practical Medicine
关键词
肱骨髁上骨折
儿童
肘关节
Supracondylar fracture of the humerus
Children
Elbow joint
