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目的探讨采用手术治疗儿童肱骨髁上骨折的入路、固定方法及其疗效。方法采用经肘关节后外侧入路,直视下复位骨折,利用克氏针交叉、辅以“8”字张力带固定。结果32例儿童肱骨髁上骨折随访结果:①均取得骨性愈合;②外观及功能优良;③患儿监护人满意;④无一例骨化性肌炎发生。Broberg-Moreey肘关节评分:优30例,良2例,可0例,差0例。发生轻度肘内翻2例。结论后外侧克氏针张力带是治疗儿童肱骨髁上骨折的满意方法之一。
Objective To investigate the approach, fixation and curative effect of surgical treatment of supracondylar humerus fractures in children. Methods The posterior lateral approach of the elbow joint was used to restore the fracture under direct vision. The Kirschner wire cross was used to supplement the fracture with the “8” tension band fixation. Results The follow-up results of 32 cases of supracondylar humerus fractures were as follows: (1) all achieved bony union; (2) the appearance and function were good; (3) the children’s guardians were satisfied; (4) none of the patients had ossifying myositis. Broberg-Moreey elbow score: excellent in 30 cases, good in 2 cases, 0 cases, poor 0 cases. 2 cases of mild cubitus varus occurred. Conclusions The posterolateral Kirschner wire tension band is one of the satisfactory methods for the treatment of supracondylar humerus fractures in children.