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肘前外侧入路交叉克氏针固定治疗儿童肱骨髁上骨折

Treatment of children humeral supracondylar fracture by ventri-lateral approach of elbow and fixation of across Kirschner wire

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【作者】 张绪华申小青余黎明张克云

【Author】 ZHANG Xu-hua, SHEN Xiao-qing, YU Li-ming, ZHANG Ke-yun(The Thrid People′s Hospital, Hunan Huaihua Medical college, Huaihua, Hunan 418000, P.R.China)

【机构】 湖南省怀化医专附属医院暨怀化市第三人民医院

【摘要】 目的探讨儿童肱骨髁上骨折的治疗方法。方法自2002年9月~2007年3月,笔者采用肘前外侧入路交叉克氏针固定治疗儿童肱骨髁上骨折88例,随访3个月~5年(平均28.3月)。结果所有病例均达到解剖复位。优78例,良6例,可1例。优良率98.8%。结论肘前外侧切口入路,术野可见范围大,显露骨折断清楚,容易达到解剖复位,对正常组织损伤少,为早期功能锻炼提供可靠保障,减少了术后肘关节周围黏连及骨化性肌炎的发生。

【Abstract】 [Objective] To investigate the methods of treatment of children humeral supracondylar fracture. [Methods] We have treated 88 child′s humeral supracondylar fracture by ventri-lateral approach of elbow and fixation of across Kirschner wire from Sep. 2002 to Mar. 2007. The range of follow-up period was from 3 months to 5 years, the average was 28.3 months. [Result] All cases got anatomical replacement. There were 78 excellent cases and 6 good cases and 1 fair case, the rate of excellent and good was 98.8%. [Conclusion] The ventri-lateral approach of elbow can add the range of opration area and get anatomical replacement easily. It can reduce the injury of normal tissues. This method also can exercise function early and reduce complications in effect.

【关键词】 肱骨骨折固定
【Key words】 humerusfracturefixation
  • 【文献出处】 中国医学工程 ,China Medical Engineering , 编辑部邮箱 ,2008年02期
  • 【分类号】R726.8
  • 【被引频次】2
  • 【下载频次】29
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