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肱骨髁上骨折是小儿最常见的损伤,约占小儿全身骨折的26.7％,占儿童肘部损伤的60％～70％。治疗方法、时机对预后及疗效有密切关系。治疗中除各人习惯与经验外,也常发生不应发生的错误,导致治疗失败。现分析如下。 1 切口选择错误 1982年以前,我们对手法复位失败,肿胀严重、皮肤张力大、失去保守治疗机会者,均采用肘后切口,将肱三头肌横形,V形、八字形切断或纵行劈开,直视下作内固定术。此方法能较好保护尺神经,
Supracondylar humerus fractures are the most common injuries in children, accounting for 26.7% of pediatric total body fractures, accounting for 60% to 70% of elbow injuries in children. Treatment methods, timing and prognosis and efficacy are closely related. In addition to the treatment of each habit and experience, but also often occur should not occur error, resulting in treatment failure. Analysis is as follows. 1 incision choice wrong Before 1982, we failed to reset the hand practices, severe swelling, skin tension, loss of conservative treatment opportunities, are used elbow incision, the triceps transverse, V-shaped, eight-shaped cut or longitudinal cleavage Open, under direct vision for internal fixation. This method can better protect the ulnar nerve,