手法复位经皮克氏针固定治疗儿童肱骨髁上骨折的疗效观察  

Manipulative reduction and percutaneous K wires fixation for treatment of supracondylar fractures of the humerus in children

作　　者：许益文[1] 郑勇[1] 白祥军[1] 刘俊[1] 李彦武[1] 石振[1] 游景扬[1] 范江荣[1] 张柘[1] 

机构地区：[1]华中科技大学同济咸宁医院,湖北咸宁437000

出　　处：《中国骨伤》2015年第6期521-523,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的：探讨手法复位经皮克氏针固定治疗儿童肱骨髁上骨折临床疗效。方法 ：回顾性分析2010年7月至2012年12月采用手法复位经皮克氏针固定治疗52例儿童肱骨髁上骨折的临床资料,其中男35例,女17例;年龄2.5~12岁,平均6.7岁;均为GartlandⅡ-Ⅲ型骨折,其中51例伸直型,1例屈曲型。采用肘关节功能Flynn评价标准进行临床疗效评价。结果：52例均得到随访,时间12~18个月,平均16个月。按照肘关节功能评价Flynn标准进行评价,优41例,良8例,可3例。结论：手法复位经皮克氏针固定治疗儿童肱骨髁上骨折具有创伤小、恢复快、骨折固定稳定等优点,还可预防骨筋膜室综合征及Volkmann挛缩、防止肘内翻。Objective：To explore clinical effect of manipulative reduction and percutaneous K wires fixation in treating supracondylar fractures of the humerus in children. Methods：From July 2010 to December 2012,clinical data of 52 children with supracondylar fractures of the humerus,which treated with manipulative reduction and percutaneous K wires fixation,were retrospectively analyzed. Among them,there were 35 males and 17 females with an average age of 6.7（ranged from 2.5 to 12）years old. All fractures were type GarlandⅡ-Ⅲ fractures,and 51 cases were extension type and 1 case were flexion type. Flynn evaluation standard of elbow performance score were applied to evaluate clinical effects. Results：All patients were followed up from 12 to 18 months with average of 16 months. According to Flynn evaluation standard of elbow performance score,41 cases obtained excellent result,8 good and 3 moderate. Conclusion：Manipulative reduction and percutaneous K wires fixation for the treatment of supracondylar fractures of the humerus in children has many advantages,such as minimally invasive,rapid recovery,stable fixation. It could prevent osteofascial compartment syndrome,Volkmann Contracture and cubitus varus.

关 键 词：正骨手法 骨折固定术 内 儿童 肱骨骨折 

分 类 号：R683.41[医药卫生—骨科学]