手法复位夹板固定治疗儿童肱骨髁上伸直型骨折效果观察  

Effective observation on treating humerus straight fracture in children by manual reduction splinting

作　　者：刘永 

机构地区：[1]河南神火集团职工总医院,河南永城476600

出　　处：《中医临床研究》2015年第23期103-104,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的：探讨手法复位、夹板固定治疗儿童肱骨髁上伸直型骨折的方法及临床效果。方法：回顾性地分析2009年3月-2014年1月经手法复位、小夹板外固定治疗的34例儿童肱骨髁上伸直型骨折患者的临床资料。结果：34例中骨折解剖复位19例,近似解剖复位15例,夹板外固定3~5周,骨折均愈合良好;随访7个月~2年,患肢功能、形状恢复正常者29例（85.3%）,肘关节伸屈功能正常,合并不同程度肘内翻畸形者5例（14.7%）;无缺血性肌挛缩、肘关节屈伸功能障碍等发生。结论：手法复位、小夹板固定治疗儿童肱骨髁上伸直型骨折取材方便,操作简单,疗效可靠,尤适于基层医院,临床应注意适应症的选择。Objective： To observe clinical effects of manual reduction splinting on humerus straight fracture in children. Methods： From March 2009 to January 2014, 34 cases were analyzed. Results： 19 cases had anatomic reduction; 15 cases were treated by anatomic reduction, with external fixation, and the fi＇acture healed well. 29 cases （85.3%） were cured, with following up for 7 months, and 5 cases （14.7%） were effective, without ischemic muscular contracture, elbow flexion and extension dysfunction. Conclusion： Manipulative reduction and small splint fixation can receive good efficacy, and is worthy of promotion.

关 键 词：儿童肱骨髁上骨折 伸直型 手法复位 夹板固定 

分 类 号：R274.1[医药卫生—中医骨伤科学]