有限切开交叉克氏针固定治疗儿童移位肱骨髁上骨折  

Limited Incision and Kirschner Wire Fixation in Crossed Position for Displaced Supracondylar Fractures in Children

作　　者：徐文华 李俊宁 傅宇 曹盛生 傅云根 

机构地区：[1]宜春市人民医院骨科,江西宜春336000

出　　处：《实用临床医学（江西）》2011年第9期33-35,共3页Practical Clinical Medicine

摘　　要：目的探讨有限切开交叉克氏针治疗儿童GartlandⅡ、Ⅲ型移位肱骨髁上骨折的手术方法和临床疗效。方法对42例儿童移位肱骨髁上骨折患儿采用有限发开交叉无氏针固定治疗。结果 42例患者均获随访,随访时间3～27个月,平均13个月。骨折均4～6周达到临床愈合,其中优30例,良9例,一般3例,优良率为92.86%。无一例出现骨折再移位和神经损伤。结论有限切开交叉克氏针治疗儿童移位肱骨髁上骨折具有手术操作简单、时间短、创伤小,患儿肘关节功能恢复好、无神经血管损伤并发症等优点,同时又减少了医师和患儿对X线的暴露,是值得推广应用的方法。ObjectiveTo explore the clinical efficiency of limited incision and Kirschner wire fixation in crossed position in Gartland type Ⅱ and Ⅲ supracondylar humerus fractures in children.MethodsForty-two children with supracondylar humerus fractures were treated with limited incision and Kirschner wire fixation.ResultsPatients were followed-up for an average of 13 months（range 3 to 27 months）.All fractures healed clinically within a period of 4 to 6 weeks.According to Flynn criteria,postoperative elbow function was excellent in 30 patients,good in 9 and fair in 3,with an excellent and good rate of 92.86%.No fracture re-displacement and nerve injury occurred in all patients.ConclusionThe method of limited incision and Kirschner wire fixation in crossed position for supracondylar humerus fractures has the advantages of simple operation,saving time,little injury,good recovery of elbow function elbow function and avoiding neurologic or vascular injury.Moreover,it may reduce X-ray exposure to doctors and patients.Therefore,the method is worth popularizing.

关 键 词：肱骨髁上骨折 有限切开 交叉克氏针固定 

分 类 号：R683.41[医药卫生—骨科学]