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目的探讨经肘后肱三头肌腱内外侧入路治疗儿童肱骨髁上骨折的手术效果。方法对100例肱骨髁上骨折患儿经肘后肱三头肌腱内外侧入路行切开复位克氏针内固定术,术后早期功能锻炼。结果本组100例均获得随访,随访时间24~36个月,平均30个月。本组术后4~6周复查X线片示骨折均已愈合。所有病例末次随防时无肘部畸形,无血管神经损伤表现。肘关节功能参照Flynn标准进行评价,其中优76例,良21例,可3例,差0例,优良率97%。结论经肘后肱三头肌腱内外侧入路治疗儿童肱骨髁上骨折手术操作安全、简单,对局部组织损伤小,术后可以早期进行肘关节功能锻炼,值得临床推广应用。
Objective To investigate the surgical treatment of supracondylar fracture of humerus in children through elbow triceps tendon after medial and lateral approach. Methods 100 cases of supracondylar fractures of the humerus were treated with open reduction and internal fixation of Kirschner wire through the medial-lateral approach of triceps tendon after the elbow. Early postoperative functional exercise was performed. Results The group of 100 patients were followed up for 24 to 36 months, an average of 30 months. This group 4 to 6 weeks after the review X-ray showed fractures have healed. No case of elbow deformity last time with the prevention of anti-angiogenic injury performance. Elbow function with reference to Flynn criteria for evaluation, of which 76 cases were excellent, good in 21 cases, fair in 3 cases, poor in 0 cases, good rate of 97%. Conclusion The treatment of supracondylar fractures of the humerus by the triceps tendon in the elbow and the lateral approach is safe and easy to operate. It has less damage to the local tissue and early elbow joint functional exercise after operation, which is worthy of clinical application.