论文部分内容阅读
目的探讨改良外侧交叉克氏针内固定治疗儿童移位肱骨髁上骨折的疗效。方法回顾性分析自2011-01—2013-12采用改良外侧交叉克氏针内固定治疗的165例儿童移位肱骨髁上骨折。采用闭合复位或切开复位外侧交叉克氏针内固定,以肱骨外髁为进针点分散置入2枚克氏针,以肱骨远干骺端外侧为进针点穿入1枚克氏针。结果本组手术时间20~50 min,平均35 min,无复位丢失。165例均获得随访12~18个月,平均14个月。骨折均获得骨性愈合,平均愈合时间3个月。无骨折再移位、针道感染、骨折畸形愈合等并发症。末次随访时Flynn功能评分:优138例,良27例。结论采用改良外侧交叉克氏针内固定治疗儿童移位肱骨髁上骨折术中操作方便,手术时间短,在保证稳定固定的同时不会损伤周围神经。
Objective To investigate the effect of modified lateral cross Kirschner wire fixation for supracondylar humerus fractures in children. Methods A retrospective analysis of 165 cases of supracondylar humerus fractures treated with modified lateral cross Kirschner wire fixation from January 2011 to December 2013 was performed. Using closed reduction or open reduction and lateral cross Kirschner wire fixation, two Kirschner wires were inserted into the lateral condyle of the humerus into the needle point, one Kirschner wire . Results The operation time of this group was 20-50 min with an average of 35 min without loss of reset. 165 cases were followed up for 12 to 18 months, an average of 14 months. Fractures were bony union, the average healing time of 3 months. No fracture and then shift, needle infection, malunion and other complications of fractures. Flynn functional score at the last follow-up: excellent in 138 cases and good in 27 cases. Conclusion The modified lateral cross Kirschner wire fixation in the treatment of supracondylar fractures of the displaced humerus in children is easy to operate, the operation time is short, while ensuring stable fixation without damaging the peripheral nerves.