摘要
目的:采用有限切开复位经皮克氏针固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折,观察临床效果。方法:2007年5月至2014年10月对132例难复性Gartland Ⅲ型肱骨髁上骨折进行治疗,其中男82例,女50例;年龄2~14岁,平均5.8岁。根据骨折远端移位方向选择骨膜撕裂侧入路,在医师手指引导下行骨折闭合复位,复位满意后经皮交叉克氏针固定,石膏外固定,早期功能锻炼。结果:132例病例均获随访,时间6~36个月,平均13.7个月。优95例,良27例,一般8例,差2例。结论:有限切开复位内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折操作简单,不受肘部肿胀的影响,复位成功率高,术后肘部功能好。
Objective：To investigate the clinical outcomes of limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type Ⅲ humerus supracondylar fracture in children. Methods：From May 2006 to October 2014,132 patients with irreducible Gartland type Ⅲ humerus supracondylar fracture were treated with reduction and pereutaneous K-wire internal fixation. The reduction was performed with the guiding of surgeon＇ s finger, and the lateral approach with periosteum torn was chosen according to the shift direction of the distal fractures. Among them, there were 82 males and 50 females with an average age of 5.8 years old （ranged from 2 to 14 years old）. R^uits：All the patients were followed up ,the duration ranged from 6 to 36 months ,with an average of 13.7 months. Ninety-five patients got an excellent result, 27 good, 8 fair, and 2 poor. Conclusion：Limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type Ⅲ humerus supracondylar fracture in children has many advantages：simple manipulate, not affected by the elbow swelling, and satisfactory curative effect. It is worth popularizing in clinic.
出处
《中国骨伤》
CAS
2017年第1期60-63,共4页
China Journal of Orthopaedics and Traumatology
关键词
肱骨骨折
骨折固定术
内
儿童
Humeral fractures
Fracture fixation,internal
Child
