外翻夹板治疗儿童伸直型肱骨髁上骨折  

Treatment of Extention-type Supracondylar Fracture of Humerus in Children with Ectropion Splint

作　　者：陈光松[1] 廖珍[1] 梁世伟[1] 

机构地区：[1]广东省化州市人民医院骨科,化州525100

出　　处：《中国中西医结合外科杂志》2009年第3期244-246,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:探讨儿童伸直型肱骨髁上骨折既可靠而肘内翻发生率又低的外固定方法。方法:将150例患者分为甲、乙两组。甲组98例采用长板式夹板将肘关节部固定成外翻15°并塑为"L"形,内外侧夹板超肘关节的前后长板式四夹板固定治疗。乙组52例采用传统的超肘关节四夹板固定治疗。结果:两组病例的骨折愈合时间无明显差异(P>0.05),但在骨折端对位的保持上甲组明显优于乙组,从第8d起就出现显著的差异(P<0.01)。肘关节功能恢复甲组优于乙组(P<0.05)。结论:前后长板式四夹板外固定治疗伸直型肱骨髁上骨折,骨折端固定可靠,能有效地防止肘内翻的发生,疗效优于传统的超肘四夹板外固定法。Objective To explore the reliable method with low incidence of cubitus varus for fixing extention - type supracondylar fracture of the humerus in children. Methods One hundred and fifty patients were divided into two groups, 98 patients in group A treated with the long splint fixation and the elbow in shape of ＂L＂ in ectropion 15°, the elbow joint was fixed along the elbow joint with four splits around the elbow; 52 patients in group B were treated with tra- ditional method of four splints fixation around the elbow. Result There was no obvious difference for healing time be- tween the two groups （ P 〉 0. 05）. However, it is obvious that group A was prior to group B in the efficiency of keeping in the right replacement of the fracture fragments. The difference was distinct since the 8th d （ P 〈 0.01）. Group A was prior to Group B on the recovering function of the elbow joint （ P 〈 0.05）. Conclusion Treatment with the long splint fixation along the elbow for fixing extention- type supracondylar fracture of the humerus can make fracture fragments be fixed reliably and prevent the elbow joint from introflexion, so is prior to conventional method of four around the elbow.

关 键 词：肱骨髁上骨折 长板式夹板 肘内翻 

分 类 号：R683.41[医药卫生—骨科学]