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目的通过回顾性分析交叉克氏针内固定治疗儿童肱骨外科颈骨折的手术效果,评价其疗效。方法回顾并评价应用交叉克氏针内固定治疗儿童肱骨外科颈骨折的特点及效果。结果术后随访3个月~2年,平均13.5个月,全部病例均骨性愈合,术后未见内固定物松脱及骨折移位;肩关节功能按Constant肩关节评分系统评定:根据疼痛、肌力、功能活动及肩关节活动度进行评定,全部病例100分。结论应用交叉克氏针内固定治疗儿童肱骨外科颈骨折安全有效,疗效确切,手术过程简捷,手术创伤小,不影响骨骼发育。
Objective To evaluate the efficacy of cross-sectional Kirschner wire fixation in the treatment of children’s surgical fracture of the humerus neck by retrospective analysis. Methods The characteristics and effects of surgical treatment of fractures of surgical neck of humerus in children with cross Kirschner wire internal fixation were reviewed and evaluated. Results The patients were followed up for 3 months to 2 years with an average of 13.5 months. All the cases were healed. There was no loosening of the internal fixators and displacement of the fractures. Shoulder joint function was assessed according to the Constant Shoulder Scoring System: , Muscle strength, functional activities and shoulder activity were assessed, all cases of 100 points. Conclusion The application of cross Kirschner wire fixation is safe and effective in the treatment of surgical neck fracture of humerus in children. The curative effect is exact, the operation procedure is simple, the operation trauma is small, and the bone development is not affected.