论文部分内容阅读
目的:观察中西医结合治疗严重移位的儿童肱骨髁上骨折的疗效。方法:用四川省名中医王英设计研制的上肢多功能牵引固定支架(专利号:ZL200420060160.7)配合小夹板固定中西医结合治疗严重移位的儿童肱骨髁上骨折61例,并进行临床统计。结果:61例患儿中解剖或近似解剖复位44例,功能对位17例;临床愈合时间平均46天;患肘屈伸功能恢复正常范围时间平均83天;神经损伤均在3个月内完全恢复。得到随访56例,56例中携带角明显减少或消失10例,与健侧基本相同41例,肘内翻5例。结论:采用王英设计的上肢多功能牵引固定支架配合小夹板固定中西医结合治疗严重移位的儿童肱骨髁上骨折,操作简单,疗效可靠,易于接受和推广。
Objective: To observe the curative effect of humeral supracondylar humerus fractures treated by integrated traditional Chinese and western medicine in children with severe displacement. Methods: 61 cases of supracondylar fractures of humerus were treated with small splint fixation combined with traditional Chinese medicine and western medicine in the study of 61 cases of supracondylar fractures of the humerus who were designed and developed by the famous Chinese medicine Wang Ying of Sichuan Province. The clinical data . Results: In the 61 cases, 44 cases were anatomically or anatomically resected, with 17 cases of functional alignment. The clinical healing time was 46 days on average. The elbow flexion and extension function returned to the normal range for an average of 83 days. The nerve injury recovered completely within 3 months . Fifty-six cases were followed-up, of which 56 cases were markedly reduced or disappeared in 10 cases, basically the same as the contralateral side in 41 cases and cubitus varus in 5 cases. Conclusions: The supracondylar fractures of humerus, which are designed by Wang Ying, are multifunctional traction fixed stents combined with small splints for the treatment of severely displaced supracondylar humerus fractures in children. The operation is simple, reliable, and easy to accept and promote.