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目的探讨术后康复锻炼预防肱骨髁上骨折患儿肘内翻的效果。方法将肱骨髁上骨折患儿85例的骨折部位行手法复位后随机分为对照组44例和观察组41例,两组患儿术后均进行常规康复锻炼,观察组患儿在康复锻炼的基础上给予肘关节外翻训练,观察两组患儿的治疗效果。结果观察组患儿治疗有效率为92.68%,对照组患儿治疗有效率为75.00%,两组差异有统计学意义(P<0.05);经康复锻炼后,观察组患儿提携角角度明显低于对照组,活动度高于对照组,差异均有统计学意义(P<0.05)。康复锻炼后随访2年,观察组中2例患儿发生肘内翻,发生率为4.87%;对照组中12例患儿发生肘内翻,发生率为27.27%,两组差异有统计学意义(P<0.05)。结论术后进行肘外翻康复锻炼可以有效促进肱骨髁上骨折患儿肘关节提携角及活动度的恢复,减少肘内翻畸形的发生,具有一定的预防作用。
Objective To investigate the effect of postoperative rehabilitation on elbow varicocele in children with supracondylar fracture of humerus. Methods 85 cases of fractures of supracondylar humerus fractures were randomly divided into control group (44 cases) and observation group (41 cases). The patients in both groups received routine rehabilitation exercise after operation, On the basis of elbow valgus training given to observe the treatment of children with two groups. Results The effective rate of treatment group was 92.68% in observation group and 75.00% in control group, the difference was statistically significant (P <0.05). After rehabilitation exercise, the angle of carrying angle in observation group was significantly lower In the control group, the activity was higher than that in the control group, the differences were statistically significant (P <0.05). Two years after rehabilitation exercise, 2 cases of cubitus varus occurred in the observation group, with a rate of 4.87%. In the control group, 12 cases of elbow varus occurred with a rate of 27.27%, with significant difference between the two groups (P <0.05). Conclusions The elbow valgus rehabilitation exercise after operation can effectively promote the recovery angle and mobility of the elbow joint in children with supracondylar humerus fractures and reduce the incidence of cubitus varus deformity and have some preventive effects.