34例严重肱骨髁上骨折的手术治疗体会  

The Surgical Treatment of Severe Humeral Supracondylar Fracture

作　　者：张炳灿[1] 

机构地区：[1]大理学院大理附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2010年第2期35-36,共2页Journal of Dali University

摘　　要：目的:为寻求一种提高临床治疗效果的好方法,从前外侧小切口入路克氏针固定加术后中医手法按摩等,探讨治疗严重肱骨髁上骨折的方法及疗效。方法:回顾性分析34例严重肱骨髁上骨折,采用前外侧小切口入路克氏针固定加术后中医手法按摩治疗后的效果。结果:34例中30例获得随访,愈合率达100%,肘关节功能优2例、良7例、可2例,优良率93.3%。有桡神经挫伤的3例,2～3月后恢复。结论:前外侧小切口入路克氏针固定加中医手法按摩是治疗严重肱骨髁上骨折的有效方法,疗效满意,可供临床参考选择。Objective： There are various treatments for the severe humeral supracondylar fracture, which have both advantages and disadvantages. In order to find a better clinical treatment, this paper explores the treatment of the fracture and its curative effect from the perspective of using traditional Chinese massotherapy after the internal fixation with Kirschner wire through a tiny anterolateral incision. Method; Analyzing the curative effect of the 34 cases of severe humeral supracondylar fracture treated with the internal fixation with Kirschner wire through s tiny anterolateral incision. Result： Follow-up observation was made to 30 cases of the 34, the healing rate reaching 100%. The elbow function of 2 cases was perfect; the function of 7 cases was good and the function of 2 cases basically regained. The credit rate was 93.3%. The 3 cases suffering from the radial nerve injury recovered in 2 or 3 months. Conclusion： The internal fixation with Kirschner wire through s tiny anterolateral incision plus traditional Chinese massotherapy is an effective treatment of the severe humeral supracondylar fracture. Its curative effect is satisfactory, and can serve as a reference for clinical choice.

关 键 词：小切口入路 中医手法按摩 严重肱骨髁上骨折 

分 类 号：R681.7[医药卫生—骨科学]