【摘要】 目的探讨不同手术时机对儿童肱骨髁上骨折后肘内翻畸形手术的影响。方法 72例肱骨髁上骨折后肘内翻畸形患者根据治疗时机不同分为A(创伤后1年内手术)、B(创伤后2年内手术)、C(创伤后2年后手术)3组,每组24例。对比3组患者手术前后患侧提携角、健侧提携角、术前内翻角以及手术前后关节活动度及关节功能恢复情况。结果 72例均获得随访,时间6～24(14.2±2.3)个月。手术截骨均在12.2周±1.4周愈合。手术前后关节活动度:A、B组术后活动度与术前及C组比较差异有统计学意义(P<0.05)。3组患者肘关节功能疗效对比显示,A组优良率为95.8%(23/24),B组为91.6%(22/24),C组为66.7%(16/24),A、B组优良率与C组比较差异均有统计学意义(P<0.05)。结论肱骨髁上骨折后肘内翻畸形早期手术能够改善肘关节功能情况,有利于肘关节功能的修复。更多还原

【Abstract】 Objective To investigate the influence of different operation timing for humerus cubitus varus after supracondylar fracture.Methods 72 humerus cubitus varus patients after supracondylar fracture were selected in our hospital,patients were divided into A,B,C three groups according to different operation timing.For A group,surgery was performed within 1 year after trauma,B group within 2 years,C group after 2 years.The carring angle,turn Angle,range of motion and joint function recovery were compared before and after surgery between three groups.Results All 72 patients were followed up for 6~24(14.2±2.3) months.The osteotomies were all healed within average(12.2±1.4) weeks.The postoperative range of motion in group A and B was statistically significant different from preoperative and group C(P<0.05).Comparing the joint function of three groups,the excellent rate of group A was 95.8%(23/24),group B 91.6%(22/24),which was significantly higher than group C 66.7%(16/24),the difference was statistically significant(P<0.05).Conclusions Early operation is good for restoration of the elbow functions for the humerus cubitus varus patients.更多还原