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肱骨髁上骨折是儿童肘部最常见的骨折。我科自1983年5月～1989年5月,共收治20例。根据伤后的时间、骨折的类型、肘关节畸形或功能障碍等不同情况,采用不同的手术方法,计有切开复位、克氏针交叉内固定21例,骨端突出部分切除3例,肱骨髁上楔形截骨矫正肘内翻5例。疗效较为满意,现报告如下。 资料与方法 一、一般资料:本组29例,男26例,女3例。年龄7～14岁。左侧21例,右侧8例。24小时内就诊者2例,1周内者2例,2～4周者7例,4周以上者14例。伸直型26例,屈曲型3例,肘内翻5例,伸直畸形3例。 二、手术方法:本组29例肱骨髁上骨折的治疗,根据伤后不同的临床表现,分别采用以下不同手术方法。 (一)切开复位、克氏针交叉内固定:应用本术式21例,除2例新鲜开放、早期就诊外,19例均系入
Humeral supracondylar fracture is the most common fracture of the elbow in children. Our department from May 1983 to May 1989, a total of 20 cases were treated. According to the time of injury, the type of fracture, elbow joint deformity or dysfunction and other different situations, using different surgical methods, including open reduction, Kirschner wire internal fixation in 21 cases, 3 cases of distal bone resection, humeral Five cases of supracondylar wedge osteotomy for correction of cubitus varus. More satisfied with the effect, are as follows. Materials and Methods First, the general information: The group of 29 cases, 26 males and 3 females. Age 7 to 14 years old. 21 cases on the left and 8 cases on the right. Two patients were seen within 24 hours, 2 in 1 week, 7 in 2 to 4 weeks and 14 in 4 weeks. Straightening in 26 cases, 3 cases of flexion, elbow varicosis in 5 cases, 3 cases of straight deformity. Second, surgical methods: The group of 29 cases of supracondylar fractures of the humerus treatment, according to different clinical manifestations after injury, respectively, using the following different surgical methods. (A) open reduction, Kirschner wire cross fixation: the application of this technique in 21 cases, in addition to 2 cases of fresh open, early treatment, 19 cases were tied