摘要
目的：探讨儿童Ⅲ型肱骨髁上骨折用闭合复位、交叉克氏针手术治疗不能取得满意效果时，采用桡侧单臂外固定支架治疗的临床疗效。方法对我们收治的13例应用单臂外固定支架治疗的儿童肱骨髁上骨折的临床资料进行回顾性分析。结果13例患者中，随访时间最短术后6个月，最长42个月，平均25个月。肘关节功能评价（参照Flynn功能评定标准）：优：11例；良：2例；可：0例，差：0例。结论当儿童Ⅲ型肱骨髁上骨折经传统闭合复位克氏针固定术治疗不能获得满意效果时，使用单臂外固定支架治疗，是一种安全、有效的替代治疗方法。
Objetive To review the results of manipulative reduction and external fixator in the treatment of Supracondylar humeral fractures in children. Methods Retrospective analysis of application of unilateral external fixator in 13 cases of supracondylar humeral fractures in Beijing Children＇s hospital. Results Follow up 13 patients,follow ups lasted from 6 to 42 months,an average of 24 months.According to Flynn clinical evaluation standard,excellent：11cases;good：2 cases;fair：0 cases;poor：0 cases. Conclusion When the closed reduction appears to be unattainable by means of manipulation alone or when sufficient stability is not achieved with standard methods of Kirschner wire fixation,the use of a lateral external fixator seems to be a safe alternative for the treatment of displaced supracondylar fractures of the humerus.
出处
《临床小儿外科杂志》
CAS
2014年第5期415-417,共3页
Journal of Clinical Pediatric Surgery
关键词
肱骨骨折
支架
治疗
儿童
Humeral Fractures
Stents
Therapy
Child
