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目的探讨闭合复位经皮克氏针交叉内固定治疗儿童肱骨髁上骨折的手术效果。方法对53例GartlandⅡ、Ⅲ型肱骨髁上骨折患儿进行闭合复位后,在C型臂X线透视下经皮穿克氏针交叉内固定与石膏外固定。结果本组53例切口均甲级愈合,摄肘关节正、侧位X线片复查,骨折达到解剖或近解剖复位,克氏针位置满意,固定可靠。根据Flynn对肘关节临床功能评定标准:优44例(83.02%),良7例(13.21%),可2例(3.77%)。优良率96.23%。结论闭合复位经皮克氏针交叉内固定治疗儿童肱骨髁上骨折固定可靠、创伤小、骨折愈合快及功能恢复好。
Objective To investigate the effect of closed reduction and percutaneous Kirschner wire fixation on supracondylar humerus fractures in children. Methods 53 cases of Gartland Ⅱ and Ⅲ supracondylar humeral fractures were closed and percutaneously treated with Kirschner wire fixation and plaster fixation under C-arm X-ray. Results All the 53 incisions in this group were healed by Grade A, the elbows were examined with positive and lateral radiographs, and the fractures were anatomically or near anatomically restored. The location of Kirschner wire was satisfactory and the fixation was reliable. According to Flynn criteria for elbow clinical evaluation: excellent in 44 cases (83.02%), good in 7 cases (13.21%) and fair in 2 cases (3.77%). Excellent rate of 96.23%. Conclusion Closed reduction and percutaneous Kirschner wire fixation for the treatment of supracondylar humerus fractures is reliable, less traumatic, faster healing and better functional recovery.