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目的肱骨髁上骨折不同手术入路的选择。方法 2005-01-2009-01对38例儿童肱骨髁上骨折患者行切开复位交叉克氏针内固定术治疗,其中20例采用肘内侧入路,16例肘外侧入路,1例采用肘后正中入路,1例前内侧“L”型入路。结果 36例获得随访,随访30～50周。随访期内无肘内、外翻发生,肘关节功能评价:本组优22例,良11例,可3例。关节活动范围平均为115°。结论根据肱骨髁上骨折的类型和有无神经损伤,选择适当手术入路,可方便手术操作,减少手术时间,方便术中保护骨膜,有利骨折愈合。
Objective To study the choice of surgical approaches to supracondylar humerus fractures. Methods From January 2005 to January 2009, 38 children with supracondylar fracture of humerus underwent open reduction and cross Kirschner wire internal fixation. Among them, 20 were treated with the medial approach of the elbow, 16 were the lateral approach of the elbow, and 1 were elbow After the median approach, anterior medial “L ” type approach. Results 36 cases were followed up for 30 to 50 weeks. No elbow during the follow-up, valgus occurred, elbow function evaluation: excellent in 22 cases in this group, good in 11 cases, 3 cases. The range of joint activities averaged 115 °. Conclusion According to the type of humerus supracondylar fractures and the presence or absence of nerve injury, the appropriate surgical approach is chosen to facilitate the surgical operation and reduce the operation time, facilitate perioperative protection of the periosteum and promote fracture healing.