论文部分内容阅读
目的观察手法复位双克氏针内固定联合石膏托治疗儿童GartlandⅢ型肱骨髁上骨折的临床疗效。方法 66例儿童GartlandⅢ型肱骨髁上骨折采用手法复位双克氏针内固定联合石膏托治疗,观察疗效。结果 66例均得到随访,随访时间6个月~2年,平均12个月。骨折全部愈合,无一例尺神经损伤及术后再移位,无Volkmann挛缩或肘内翻畸形。按Flynn标准评定,优46例,占70%,良20例,占30%。结论对于GartlandⅢ型小儿肱骨髁上骨折,“C”型臂X线机透视下闭合复位经皮克氏针内固定治疗具有手术创伤小,固定可靠,可以获得良好的肘关节功能和外形优点。
Objective To observe the clinical effect of manual reduction and double Kirschner wire fixation combined with gypsum plaster for treatment of Gartland type Ⅲ supracondylar humerus fractures in children. Methods 66 cases of children with Gartland type Ⅲ supracondylar humerus fractures using manual reduction double Kirschner wire fixation and plaster, the curative effect was observed. Results 66 cases were followed up for 6 months to 2 years with an average of 12 months. All the fractures were healed without any evidence of ulnar nerve injury and postoperative displacement, without Volkmann contracture or cubitus varus deformity. By Flynn standard assessment, excellent in 46 cases, accounting for 70%, good in 20 cases, accounting for 30%. Conclusions For Gartland type Ⅲ pediatric humeral supracondylar fractures, closed reduction and percutaneous Kirschner wire fixation with “C” arm X-ray fluoroscopy has the advantages of small surgical trauma, reliable fixation and good elbow function and shape advantages .