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目的:观察单后托夹板固定治疗儿童伸直型肱骨髁上骨折的临床疗效。方法:从2012年8月至2016年12月,采用手法复位夹板外固定治疗儿童伸直型肱骨髁上骨折患者50例,其夹板固定方式均采用单后托夹板旋后位固定,观察治疗后伤肢肿胀、肘关节功能恢复(参照Mayo功能评分表)及提携角改变等情况。结果:50例均获得随访,随访时间为6~8周,平均7周。患者治疗后肿胀情况根据疗效标准,显效率可达68.0%,于4和6周分别查看患者肘关节功能恢复情况,其优良率分别为42.0%和90.0%,术后定期复查X片未见复位明显丢失及肘内翻情况。结论:单后托夹板固定治疗儿童伸直型肱骨髁上骨折具有创伤小、恢复快、安全性高、疗效满意等优点,在掌握适应症的情况下,可以临床推广应用。
Objective: To observe the clinical effect of single posterior splint fixation for supracondylar fractures of humerus in children. Methods: From August 2012 to December 2016, 50 cases of supracondylar fractures of the humerus were treated with manual reduction and external fixation of the splint. The splints were fixed with a single posterior palpable plate and rotated posteriorly. After treatment, Swelling of injured limbs, recovery of elbow function (refer to Mayo functional rating scale) and change of carrying angle. Results: All 50 patients were followed up for 6-8 weeks with an average of 7 weeks. According to the standard of curative effect, the effective rate was 68.0%. After 4 and 6 weeks, the functional recovery of the elbow joint was examined respectively. The excellent and good rates were 42.0% and 90.0% respectively. No recurrence was found after X-ray examination Obvious loss and elbow valgus situation. Conclusion: The single supraclavicular splint fixation has the advantages of small trauma, rapid recovery, high safety and satisfactory curative effect in the treatment of children with supracondylar humerus fractures. In the case of indications, it can be popularized clinically.