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肘前小切口治疗儿童难复性肱骨髁上骨折

Treatment of irreducible humeral supracondylar fracture in children with anterior elbow small incision

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【作者】 李海堂; 封林; 孙劲松; 雷学锋;

【Author】 LI Haitang;FENG Lin;SUN Jinsong;LEI Xuefeng;Jining Medical University;

【机构】 济宁医学院; 济宁医学院附属医院; 济宁医学院临床学院;

【摘要】 目的介绍肘前小切口入路治疗儿童肱骨髁上骨折的手术方法与疗效。方法采用肘前小切口入路切开复位后,自肱骨内、外髁分别打入1枚钛针作交叉内固定,术后3周开始功能锻炼。结果本组肱骨髁上骨折114例,均获随访,随访时间2个月~2a。术后6个月根据Flynn等评价标准,优:97例,良:11例,可:6例,优良率为94.7%。结论肘前小切口切开复位交叉钛针内固定治疗儿童肱骨髁上骨折,具有对骨折断端显露良好、复位容易、操作简单,术后关节功能恢复好等优点。

【Abstract】 Objective To investigate the treatment of children supracondylar fracture of humerus with open reduction and internalfixation from anterior elbow mini-incision.Methods Open reduction from anterior elbow miniincision and fix with intersect kirschner pins,then to do postoperative functional exercise after 3 weeks.Results 114 cases have been followed up ranging from2 months to 2 years in this group.In accordance with Flynn elbow functional evaluation criteria of postoperative 6-month,there are 97 cases in optimal level,11 cases in good level,and 6 cases in general level.Optimal rate is 94.7%.Conclusion The method,selecting anterior elbow small incision to open reduction and cross titanium needle fixation to treat children humerus supracondyle fracture has shown that it has many advantages,such as good disclose,reset easy,simple operation and good recovery of joint function.

  • 【文献出处】 济宁医学院学报 ,Journal of Jining Medical University , 编辑部邮箱 ,2015年03期
  • 【分类号】R726.8
  • 【被引频次】3
  • 【下载频次】42
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