闭合复位辅以肘内侧小切口经皮穿针内固定治疗肿胀严重的儿童肱骨髁上骨折  

Closed reduction and percutaneous pin fixation through a small medial elbow incision for the treatment of severe swelling supracondylar fracture of humerus in children

作　　者：姚保兵[1] 尹成国[1] 王大钊 YAO Baobing;YIN Chengguo;WANG Dazhao(Department of Hand and Upper Limb Surgery,Jinan Third People's Hospital,Jinan,Shandong,250132,China)

机构地区：[1]济南市第三人民医院手及上肢外科,山东济南250132

出　　处：《实用手外科杂志》2025年第1期34-36,共3页Journal of Practical Hand Surgery

摘　　要：目的探讨闭合复位辅以肘内侧小切口经皮穿针内固定治疗肿胀严重的儿童肱骨髁上骨折的临床效果。方法自2019年3月-2023年6月,采用闭合复位辅以肘内侧小切口经皮穿针内固定治疗肿胀严重的儿童肱骨髁上骨折10例,均为伸直型骨折。结果所有患儿均获得随访,随访时间最短3个月,最长24个月,平均11.5个月。患儿骨折均达到骨性愈合,肘内翻畸形1例,未出现医源性尺神经损伤,肘关节功能按Flynn评分:优9例,良1例。结论闭合复位辅以肘内侧小切口经皮穿针内固定治疗肿胀严重的儿童肱骨髁上骨折可以避免医源性尺神经损伤。Objective To explore the clinical effect of closed reduction and percutaneous pin fixation through a small incision on the medial side of the elbow for the treatment of severe swelling of humeral supracondylar fractures in children.Methods From March 2019 to June 2023,10 children with severe swelling supracondylar fractures of the humerus were treated with closed reduction and percutaneous needle fixation through a small incision on the medial side of the elbow,all of which were straight fractures.All patients were followed up for a minimum of 3 months,a maximum of 24 months,and an average of 11.5 months.Results All fractures in the children achieved bone healing,with 1 case of cubitus varus deformity and no iatrogenic ulnar nerve injury.Elbow joint function was evaluated as excellent in 9 cases and good in 1 case according to Flynn's score.Conclusion Closed reduction and percutaneous needle fixation through a small incision on the medial side of the elbow can avoid iatrogenic ulnar nerve injury in the treatment of severe swelling supracondylar fractures of the humerus in children.

关 键 词：肱骨髁上骨折 闭合复位 严重肿胀 尺侧小切口 

分 类 号：R68[医药卫生—骨科学]