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目的探讨儿童肱骨外髁骨折骨片钉内固定的适应症及疗效。方法本院2002年1月～2005年12月收入住院的儿童肱骨外髁骨折19例,先采用麻醉下手法整复,然后对移位>2～3mm的病例行切开复位骨片钉内固定。结果19例儿童肱骨外髁骨折均经切开复位骨片钉内固定,术后随访时间6～24个月,平均16个月,全部骨性愈合,除1例术后6周X线检查发现骨片折断外,未有其它并发症发生,优良率达94.7%。结论骨片钉内固定法对治疗儿童肱骨外髁骨折具有操作简单,固定可靠,骨折愈合率高,对骨骺影响小,值得推广。
Objective To investigate the indications and curative effects of pedicle screw fixation of humerus lateral condyle in children. Methods In our hospital, from January 2002 to December 2005, 19 children with hospitalized humeral condyles who were hospitalized were enrolled in this study. They were treated by anesthesia and then treated with open reduction and internal fixation . Results 19 cases of children with humeral lateral condylar fractures were treated by open reduction and nail fixation, postoperative follow-up time of 6 to 24 months, an average of 16 months, all bony union, except for 1 case 6 weeks after X-ray examination found Fracture outside the bone, no other complications occurred, excellent rate of 94.7%. Conclusion The method of internal fixation with bone nail has the advantages of simple operation, reliable fixation, high rate of fracture healing and small impact on the epiphysis, which is worth to be popularized.