【摘要】 目的探讨直视下手法复位加石膏外固定与交叉克氏针固定治疗伸直型肱骨髁上骨折的疗效。方法 45例伸直型肱骨髁上骨折分2组,1组21例行手法复位加石膏固定,另1组24例行经皮闭合复位交叉克氏针内固定术,从骨折愈合时间、并发症、功能恢复3个方面进行比较分析。结果手法复位加石膏固定组有2例出现Volkman缺血性肌挛缩、4例出现肘内翻、1例出现桡神经损伤。结论经皮闭合复位交叉克氏针内固定治疗伸直型肱骨髁上骨折具有并发征少、功能恢复优等特点。更多还原

【Abstract】 Objective To study manual reduction under direct vision with plaster external fixation and cross-Kirschner wire fixation of extension type supracondylar fracture.Methods 45 patients with extension type supracondylar fractures divided into 2 groups,one group of 21 regular manual reduction plus cast immobilization,and the other a group of 24 cases of close reduction and perculaneous cross-Kirschner wire fixation,from the fracture healing time,complications,functional recovery three aspects of comparative analysis.Results The reduction and cast immobilization techniques,there were 2 patients had forearm compartment syndrome,cubitus varus in 4 cases,1 case of radial nerve injury.Conclusion Open reduction and Kirschner wire fixation cross extension type supracondylar fractures of concurrent symptoms less functional recovery superior characteristics.更多还原