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目的探讨闭合复位经皮克氏针内固定治疗儿童肱骨髁上骨折的临床疗效。方法分析我院骨科2005年4月—2009年4月采用C臂机透视下闭合复位经皮克氏针内固定治疗41例儿童肱骨髁上骨折患儿,经氯胺酮麻醉在C臂机透视下行骨折闭合复位,经皮穿入2枚克氏针固定骨折,并于肘关节屈曲120°位予上肢石膏托外固定。结果 41例均获随访,随访时间为6～12个月不等,术后无一例发生Volkmann挛缩,无肘内翻畸形及尺神经损伤。按Flynn标准评价:优29例,良12例,无一例一般或差病例。结论闭合复位经皮克氏针内固定治疗儿童肱骨髁上骨折具有操作简单,创伤小,恢复快,并发症少,费用低,疗效好等优点,值得临床加以推广应用。
Objective To investigate the clinical effects of closed reduction and percutaneous Kirschner wire fixation for supracondylar humerus fractures in children. Methods Analysis of orthopedics in our hospital From April 2005 to April 2009, 41 children with supracondylar fracture of humerus were treated with closed reduction and percutaneous Kirschner wire fixation under C-arm fluoroscopy, Closed reduction, percutaneous penetrating two Kirschner wire fixation fractures, and in the elbow flexion 120 ° position to the upper extremity plaster care. Results All 41 patients were followed up for 6-12 months. No Volkmann contracture, no cubitus varus deformity and ulnar nerve injury were found in all cases. According to Flynn standard evaluation: excellent in 29 cases, good in 12 cases, no case of normal or poor cases. Conclusion Closed reduction and percutaneous Kirschner wire fixation of supracondylar fracture of humerus has the advantages of simple operation, less trauma, quicker recovery, less complications, low cost and good curative effect. It is worth to be popularized in clinic.