儿童肱骨髁上骨折的治疗及远期效果观察  

TREATMENT AND LONG TERM RESULTS OF SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN

作　　者：张文明[1] 徐印坎[1] 贾连顺[1] 刘正平[1] 周志华[1] 张文林[1] 赵定麟[1] 屠开元 

机构地区：[1]第二军医大学附属长征医院骨科

出　　处：《上海医学》1983年第5期252-256,311,共6页Shanghai Medical Journal

摘　　要：本文介绍采用手法复位、尺骨鹰嘴克氏针牵引和石膏外展架固定的方法治疗640例明显移位的肱骨髁上骨折。其中单纯伸展型374例,尺偏伸展型146例,桡偏伸展型79例,屈曲型41例。在术后随访10~19年的202例中,优135例(75.74%);良14例(6.93%,可18例(8.91%),差17例(8.42%);未发生Volkmann氏缺血性挛缩;发生肘内翻畸形者中以尺偏伸展型最高(45.5%),单纯伸展型次之(13.2%),桡偏伸展型和屈曲型最少(各为9.1%和8.3%)。随访观察表明远侧骨折端向尺侧移位是导致肘内翻的重要因素,故解剖复位或者过度复位对尺偏型来说颇有必要。In the period from 1960 to 1969,640 children were admitted because of displaced supracondylar fracture of humerus.The treatment consisted of manipulation,olecranon Kirschner wire traction and abduction plaster splint.No Volkmann’s contracture was encountered.Two hundred and two children were followed up for 10 to 19 yr,average 12.6 yr.The results were excellent in 135 cases(75.7%),good in 14 cases(6.9%)fair in 18 cases(8.9%)and poor in 17 cases(8.4%).The authors hold that cubitus varus deformity is due to faulty reduction with medial angulation of the distal fragment so that anatomical reduction or even over-correction of ulnar displacement is very important.

关 键 词：骨折端 外展架 尺骨鹰嘴 手法整复 克氏针 克氏钢丝 向尺侧 肘内翻畸形 石膏 硫酸钙 硫酸盐矿物 肘关节 手法复位 肘部 神经损伤 解剖对位 骨折远端 

分 类 号：R68[医药卫生—骨科学]