小儿肘内翻畸形的矫正  

Cubitus Varus Dimensional Correction in Children

作　　者：邓学海[1] 刘勇[1] 唐强[1] 

机构地区：[1]宜宾市第一人民医院骨一科,四川宜宾644000

出　　处：《四川医学》2016年第1期65-67,共3页Sichuan Medical Journal

摘　　要：目的探讨小儿肘内翻畸形采用肱骨髁上楔形截骨克氏针内固定＋石膏外固定的临床疗效。方法选取2000年1月至2013年12月小儿肘内翻畸形33例,均采用肱骨髁上楔形截骨克氏针内固定＋石膏外固定治疗,观察术后骨愈合、肘内翻改善、肘关节功能和并发症情况。结果所有病例均获得随访,6个月~3年8个月,平均1年3个月,术后均完全骨性愈合,未出现截骨处移位、内固定松动、畸形复发等并发症。其中优28例,良5例,优良率100%。结论肱骨髁上楔形截骨克氏针内固定＋石膏外固定治疗小儿肘内翻畸形固定可靠,矫形效果满意,肘关节功能恢复良好,畸形复发率低。Objective To observe the clinical effect of humerus wedge osteotomy with Kirschner wire fixation and cast im- mobilization in treatment of cubitus varus deformity. Methods Totally 33 cases with cubitus varus deformity were Selected from January 2000 to December 2013, They were respectively treated with humerus wedge osteotomy with Kirschner wire fixation and cast immobilization. Functional exercises were needed after the operation. The therapeutic efficacy of the Cubitus extension and flex- ionfunction and the recovery of the lead angle were compared and analyzed. Results The group was followed up for 6 months to 3 years and 8 months,An average of 1 year and 3 months,All cases complete bone healing, does not appear displacement osteotomy, internal fixation loosening, Deformity recurrence and other complications. Excellent in 28 cases, good in 5 cases, goodrate of 100%. Conclusions Humerus wedge osteotomy with Kirschner wire fixation and cast immobilization in treatment of cubitus varus deformity has greateffect. This technology has following advantages ： good recovery of joint function, deformity recurrence rate.

关 键 词：小儿 肘内翻 矫形 

分 类 号：R726.8[医药卫生—儿科]