【摘要】 提要报告了36例Ⅲ、Ⅳ、Ⅴ型儿童肱骨外髁骨折,采用旋转屈伸复位法治疗,成功31例,失败5例。远期随访结果优8例,良15例,优良率达82％。观察认为,根据本病的损伤机制、病理变化分为五型更有利于指导临床治疗。早期无损伤闭合复位是治疗本病的首选方法。严格要求解剖或近解剖复位,避免损伤骨骺,给予牢固而充足时间的固定等是减少畸形,恢复肘关节功能的关键。更多还原

【Abstract】 Thirty-six cases of children’s humeral external-condylar fractures of Types Ⅱ,Ⅳ and Ⅴ were treated by rotation-extension-flexion reduction with success in 31 cases and failure in 5 cases. Long-term follow-up showed excellent results in 8 cases, good ones in 15 cases and an excellent-good rate of 82％. Through observations It was considered that five-type classification could be more beneficial to the clinical treet-ment in comparison with others. Early non-traumatic closed reduction is the firstselected method for this disease. The key to reducing the deformity and recovering the elbow function IS anatomic and near-anatomic reduction, cvoidence of epiphyseal injury and stable adequate-time fixation.更多还原