小儿伸直型肱骨髁上骨折治疗体会  

Analysis of Supracondylar Fracture In Straightened Humerus In Children

作　　者：杜志军[1] 洪云飞[1] 王琦[1] 

机构地区：[1]郑州市骨科医院,郑州市450052

出　　处：《医药论坛杂志》2007年第24期50-51,共2页Journal of Medical Forum

摘　　要：目的观察小儿伸直型肱骨髁上骨折的疗效。方法采取回顾性总结方法,对58例伸直型肱骨髁上骨折分为手法整复闭合钢针固定组与手术切开复位固定组。参照天津医院《骨折治疗与治疗标准草案》标准评价疗效。结果58例骨折均得到复位固定。手法整复组发生肘内翻8例,手术组发生肘内翻6例,内翻角在10°以内,关节功能良好。结论手法整复组与手术组对肱骨髁上骨折出现肘内翻发生概率基本无差异,治疗最好选用手法整复闭合穿针方案。Objective To study the clinical effects of the fixation treatments on supracondylar fracture in straightened humerus in children. Methods Totally 58 children with supracondylar fracture in straightened humerus were reviewed and analyzed ,while they receiving occlusive fixation or surgical fixation after replacement, respectively. The clinical effects were evaluated complying with draft of criteria for fracture treatment attributed by Tianjing Hospital. Results Fixation treatments with taxis or surgery on 58 cases resulted that 8 cases with taxis displayed elbow - varus within 10 degree ,6 cases with surgery also displayed, without significant joint dysfunction. Conclusion Fixation treat- ments with taxis or surgery appear to make no difference in occurrence of elbow - varus in children with supracondylar fracture in straightened humerus. Occlusive fixation after maniputation appesrs to be advantagious.

关 键 词：伸直型肱骨髁上骨折 复位 内固定 儿童 

分 类 号：R683.41[医药卫生—骨科学]