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目的探讨研究儿童肘内翻畸形采用肱骨髁上闭合楔形截骨三维矫形交叉钢针张力带固定术的临床疗效。方法总结并分析临床41例肘内翻儿童行肱骨髁上截骨后三维矫形交叉钢针张力带固定的资料,观察术后骨愈合、肘部提携角改善、肘关节功能和并发症情况。结果本组术后随诊6个月～2年6个月,一般术后3个月,完全骨性愈合,未出现截骨处移位、内固定松动等并发症。其中优37例,良4例,无结果可或差病例,优良率100%。结论肱骨髁上截骨后三维矫形交叉钢针张力带固定内固定稳定,矫形效果满意,肘关节可早期活动、关节功能恢复良好,畸形复发率低。
Objective To study the clinical effect of three-dimensional orthopedic cross-needle tension band fixation of closed supracondylar humerus in children with cubitus varus deformity. Methods A total of 41 children with cubitus varus who underwent supracondylar supracondylar osteotomy were retrospectively analyzed and analyzed. The data of three - dimensional orthopedic cross needle tension band fixation were analyzed. The postoperative healing of the bone, improvement of elbow supporting angle, elbow joint function and complications were observed. Results This group of patients were followed up for 6 months to 2 years and 6 months, usually 3 months after surgery, complete bony union, no osteotomy displacement, internal fixation loosening and other complications. Which excellent in 37 cases, good in 4 cases, no result or poor cases, excellent rate of 100%. Conclusions The three-dimensional orthopedic cross-sectional fixation of intertrochanteric fractures of the humerus is stable and the internal fixation is stable. The orthopedic effect is satisfactory. The elbow joint can be early mobilized, the joint function recovered well, and the recurrence rate of the deformity is low.