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目的探讨直视下手法复位加石膏外固定与交叉克氏针固定治疗伸直型肱骨髁上骨折的疗效。方法 45例伸直型肱骨髁上骨折分2组,1组21例行手法复位加石膏固定,另1组24例行经皮闭合复位交叉克氏针内固定术,从骨折愈合时间、并发症、功能恢复3个方面进行比较分析。结果手法复位加石膏固定组有2例出现Volkman缺血性肌挛缩、4例出现肘内翻、1例出现桡神经损伤。结论经皮闭合复位交叉克氏针内固定治疗伸直型肱骨髁上骨折具有并发征少、功能恢复优等特点。
Objective To investigate the curative effects of manual reduction and plaster external fixation and cross Kirschner wire fixation under direct vision in the treatment of straight supracondylar humerus fractures. Methods 45 cases of straight humeral supracondylar fractures were divided into two groups, one group of 21 cases underwent manual reduction and plaster fixation, another group of 24 cases underwent percutaneous closed reduction cross Kirschner wire fixation, from fracture healing time, complications , Functional recovery in three areas for comparative analysis. Results There were 2 cases of Volkman’s ischemic contracture, 4 cases of cubitus varus, and 1 case of radial nerve injury in the manual reduction and plaster fixation group. Conclusion Percutaneous closed reduction Kirschner wire fixation for the treatment of hypertrophic humeral supracondylar fractures with fewer complications and superior functional recovery.