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目的探讨手法与手术治疗小儿肱骨髁上骨折的疗效。方法分手法复位小夹板外固定组和切开复位、克氏针内固定组,对比分析两组疗效。结果手法复位60例,优良率91.7%,手术治疗56例,优良率91.1%,两组比较差异无统计学意义。结论手法复位小夹板外固定及切开复位内固定均能取得良好效果,对于肱骨髁上稳定性骨折,优先选择手法复位外固定。对于肱骨髁上不稳定骨折,优先选择切开复位内固定。
Objective To explore the curative effect of manual manipulation and surgical treatment of supracondylar humerus fractures in children. Methods The method of splitting the small splint external fixation and open reduction, Kirschner wire fixation group, comparative analysis of two groups of curative effect. Results Manual reduction in 60 cases, excellent and good rate of 91.7%, 56 cases of surgical treatment, excellent and good rate was 91.1%, no significant difference between the two groups. Conclusions Manipulative reduction of external cleat splint and open reduction and internal fixation can achieve good results. For supracondylar fractures of the humerus, manual reduction and external fixation are preferred. For unstable supracondylar humerus fractures, the preferred choice of open reduction and internal fixation.