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收集1989年7月至1998年12月间小儿肱骨髁上骨折627例,分别采用手法复位、皮牵引加手法复位以及结合石膏外固定的治疗方法。现将结果分析报告如下。1 临床资料1.1 一般资料 本组627例,伸直型573例,屈曲型54例;男461例,女166例;年龄最小者8个月,最大者12岁;左侧378例,右侧249例;桡神经、正中神经和尺神经受累者23例,发生Volkmann缺血性挛缩1例。1.2 治疗方法 手法复位、石膏外固定355例,其中早期手法复位、石膏外固定241例,经皮牵引消肿后手法复位、石膏外固定114例;手术切开复位克氏针交叉内固定232例,其中早期急诊手术161例,消肿后手术71例,Ⅱ期截骨矫形40
A total of 627 supracondylar fractures of the humerus were collected from July 1989 to December 1998 and were treated with manual reduction, skin traction and manual reduction, and combined with plaster external fixation. Now the analysis of the results reported below. 1 Clinical data 1.1 General Information The group of 627 cases, 573 cases of straight type flexion type 54 cases; 461 males and 166 females; the youngest of 8 months, the largest of 12 years; 378 left and right 249 Cases; radial nerve, median nerve and ulnar nerve involvement in 23 cases, the occurrence of Volkmann ischemic contracture in 1 case. 1.2 treatment of manual reduction, 355 cases of plaster external fixation, of which early reduction, gypsum external fixation of 241 cases, percutaneous traction reduction after manipulation, plaster external fixation in 114 cases; surgical incision and reposition Kirschner wire fixation of 232 cases , Including 161 cases of early emergency operation, 71 cases of post-swelling operation, and 40 cases of stage II osteotomy