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作 者:高原[1]
出 处:《临床医学进展》2023年第5期7588-7597,共10页Advances in Clinical Medicine
摘 要:Gartland III型伸直型儿童肱骨髁上骨折是临床上一种较为严重肘部骨折,常合并神经血管损伤,如果治疗不当,会导致严重的并发症,对患儿的身心健康造成不利的影响。由于其骨折端之间骨皮质完全断裂,有明显的侧方和(或)旋转移位,相对不稳定,所以闭合复位相对难度较大。本文将通过查阅近年来关于Gartland III型伸直型儿童肱骨髁上骨折治疗研究进展的相关文献作一综述,旨在加深对该型骨折临床特征的认识并系统阐述其诊治方式的发展现状,为临床决策提供科学依据。Gartland III extension-type supracondylar humeral fractures in children are a severe case of elbow fracture, often complicated by neurovascular injuries. If not treated correctly, the condition can lead to serious complications and adverse effects on the physical and mental health of children. Closed reduction is a medical procedure often used to reduce a broken bone without the need to cut the skin open but, in such cases, this method is relatively difficult to perform because of the complete rupture, significant lateral and/or rotation displacement, and relative instability of the bone cortex between fracture ends. This study conducts a systematic review of the treatment progress of Gart-land III extension-type supracondylar humeral fractures in children by referring to the relevant literature published in recent years, aiming to deepen the understanding of the clinical character-istics of this type of fracture and describe the development of its diagnosis and treatment methods. The outcomes presented here may provide a novel scientific basis for clinical decision-making in-volving patients undergoing treatment or facing the adversities of this condition.
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