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目的探讨采用微创内、外侧联合小切口治疗儿童肱骨髁上骨折及其疗效。方法 2005-2010年本科对45例儿童肱骨髁上骨折采用微创肘内、外侧联合小切口治疗。结果手术过程顺利,术后2-3周即可去石膏进行早期功能锻炼。随访3个月-2年,全部骨折均愈合,按Flynn标准对术后肘关节功能恢复情况进行评价,其中优35例、良6例、差4例。结论肘关节内外侧联合小切口治疗儿童肱骨髁上骨折安全、方便,损伤小,固定可靠,临床治疗效果显著、肘关节功能恢复良好。
Objective To investigate the treatment of supracondylar humerus fractures in children with minimally invasive medial and lateral small incisions and its curative effect. Methods From 2005 to 2010, 45 children with supracondylar humerus fractures were treated with minimally invasive internal and external small incision. Results The operation was successful. After 2-3 weeks, gypsum could be used for early functional exercise. All patients were followed up for 3 months to 2 years. All the fractures healed. The functional recovery of elbow joint was evaluated according to Flynn criteria. Among them, 35 were excellent, 6 were good and 4 were poor. Conclusions The small and superior incision of the elbow combined with small incision is safe and convenient for children with supracondylar fractures of the humerus. It is small, reliable and reliable in clinical treatment. The elbow joint function recovered well.