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目的:观察小儿上肢多功能牵引复位固定器治疗肱骨髁上骨折的临床疗效。方法:肱骨髁上骨折患儿485例,均采用上肢多功能牵引复位固定器治疗。结果:解剖对位356例,近解剖对位96例,功能对位33例。骨折临床愈合时间21～42d,平均31.5d,随访1～5年。功能恢复:优426例,良56例,差3例,肘内翻发生率5.15%。结论:儿童上肢多功能牵引复位固定器与骨折端所形成的三维立体固定,适合上肢的生物力学要求,为儿童上肢骨折的治疗提供了一种既能纠正骨位,又稳定整复骨折,并能防止旋转,结构稳固、简单、操作使用方便、有效、安全。值得临床推广。
Objective: To observe the clinical effect of pediatric supracondylar humerus fractures treated by multifunctional traction and repositioning fixator. Methods: 485 cases of supracondylar humerus fractures were treated with multifunctional traction repositioning device. Results: There were 356 cases of anatomic alignment, 96 cases of proximal anatomical alignment and 33 cases of functional alignment. Fracture clinical healing time 21 ~ 42d, an average of 31.5d, followed up for 1 to 5 years. Functional recovery: excellent in 426 cases, good in 56 cases, poor in 3 cases, the incidence of cubitus varus 5.15%. CONCLUSION: The three-dimensional fixation of multi-functional traction repositioning device and fracture of the upper limbs is suitable for biomechanical requirements of the upper limbs. It provides a method for the treatment of upper limb fractures in children, which can not only correct the position of bone but also stabilize the whole complex fractures To prevent rotation, the structure is stable, simple, easy to operate, effective and safe. Worth clinical promotion.