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目的:研究可吸收螺钉在儿童肱骨外髁骨折中的临床应用。方法:2002年1月~2003年9月以来,应用可吸收螺钉内固定治疗16例儿童肱骨外髁骨折,术后予长臂石膏托固定于屈肘90度位,2周~3周后去除石膏托,行肘关节功能锻炼。结果:随访3个月~20个月,骨折全部愈合。疗效优者9例,良者4例,可2例,差1例;优良共计13例,优良率为81.3%。结论:可吸收螺钉固定儿童肱骨外髁骨折是较为理想的生物材料,骨折固定后仅辅以短期石膏托外固定即可达到骨折愈合,且能进行早期关节功能锻炼,省去了二次手术给患儿带来的痛苦及扣损伤,节约了二次手术的费用。
Objective: To study the clinical application of absorbable screws in the fracture of the humeral condyles in children. Methods: From January 2002 to September 2003, 16 cases of humeral condylar fractures were treated with absorbable screw fixation. After long arm plaster was fixed to flexor elbow position of 90 degrees and removed after 2 weeks to 3 weeks Plaster care, elbow functional exercise. Results: All cases were followed up for 3 months to 20 months. Excellent efficacy in 9 cases, good in 4 cases, fair in 2 cases, poor in 1 case; good in 13 cases, excellent and good rate was 81.3%. CONCLUSION: Absorbable screw fixation of the lateral humeral condylar fracture is an ideal biomaterial. Fracture healing can be achieved only with short-term plaster external fixation, and can be used for early joint functional exercise, eliminating the need for secondary surgery Children suffering from pain and buckle injury, saving the cost of the second surgery.