摘要
目的 提高对儿童肱骨内髁骨折的诊治水平。方法 回顾分析了 1981年～ 1991年手术治疗并获得随访的 19例Kilfoyle Ⅲ型肱骨内髁骨折的临床资料。手术方法主要为切开复位、丝线或可吸收线加压缝合 +单克氏针内固定、石膏外固定。结果 全部病儿肘关节功能均能达到满意的活动范围 ,肘部外观基本满意 ,X线片提示有 3例干骺端形态异常。结论 儿童肱骨内髁骨折易误诊 ,骨折有移位者应尽早争取手术及良好的内固定 ,即使陈旧性骨折也可手术治疗。术中是否作尺神经前移则根据具体情况决定。解剖复位有利于预防肘外翻的发生。
Objective To review the experience in the diagnosis and management of fractures of the humeral medial condyle in children.?Methods Nineteen children with type Ⅲ fractures of humeral medial condyle were treated surgically from 1981 to 1991,and the follow up period ranged from 9 to 19 years.?Results Good results were obtained in all patients. The external form of elbow appeared satisfactorily.?Roentgenograms showed deformity of the metaphyses in 3 cases.?Conclusion Fractures of humeral medial condyle is often mis diagnosed.?Open reduction is practicable for this type fractures,even for old fractures.?Early anatomical reduction,rigid internal fixation and early exercise are important. Transposition of the ulnar nerve is not necessary in some cases.
出处
《创伤外科杂志》
2002年第4期201-203,共3页
Journal of Traumatic Surgery
