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目的探讨成人胫骨平台内侧锁定钢板在儿童股骨髁上骨折治疗中的临床疗效。方法笔者自2011-03—2015-03采用有限切开复位成人胫骨平台内侧解剖锁定钢板内固定治疗24例儿童股骨髁上骨折,分析其疗效。结果 24例获平均10(6~18)个月随访,所有患者均获骨性愈合。根据Merchen评定标准,优15例,良7例,可2例,优良率91.7%。结论成人胫骨平台内侧解剖锁定钢板治疗儿童股骨髁上骨折手术简单,固定可靠,安全性高,术后功能恢复好。
Objective To investigate the clinical effect of medial locking plate of adult tibial plateau in the treatment of supracondylar femoral fracture in children. Methods The author from 2011-03-2015-03 limited open reduction adult tibial plateau medial anatomical locking plate fixation for 24 cases of children with femoral supracondylar fractures, analysis of its efficacy. Results 24 cases were followed up for an average of 10 (6 ~ 18) months. All patients got bony union. According to Merchen evaluation criteria, 15 cases were excellent, 7 good and 2 fair, the excellent and good rate was 91.7%. Conclusion The medial anatomic locking plate of adult tibial plateau is simple, reliable, safe and effective in the treatment of supracondylar fractures in children.