李海堂,封林,孙劲松,雷学锋.肘前小切口治疗儿童难复性肱骨髁上骨折[J].济宁医学院学报,2015,(3):165-167 |
肘前小切口治疗儿童难复性肱骨髁上骨折 |
Treatment of irreducible humeral supracondylar fracture in children with anterior elbow small incision |
投稿时间:2015-03-11 |
DOI:10.3969/j.issn.1000-9760.2015.03.005 |
中文关键词: 儿童;肱骨髁上骨折;内固定术 |
英文关键词: Children;Supracondylar fracture of humerus;Internal fixation |
基金项目: |
作者 | 单位 | E-mail | 李海堂 | 济宁医学院2012级研究生, 山东济宁 272067 | | 封林 | 济宁医学院附属医院, 济宁 272029 | | 孙劲松 | 济宁医学院附属医院, 济宁 272029 | | 雷学锋 | 济宁医学院临床学院, 济宁 272067 | lxf1121@126.com |
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中文摘要: |
目的 介绍肘前小切口入路治疗儿童肱骨髁上骨折的手术方法与疗效。方法 采用肘前小切口入路切开复位后,自肱骨内、外髁分别打入1枚钛针作交叉内固定,术后3周开始功能锻炼。结果 本组肱骨髁上骨折114例,均获随访,随访时间2个月~2a。术后6个月根据Flynn等评价标准,优:97例,良:11例,可:6例,优良率为94.7%。结论 肘前小切口切开复位交叉钛针内固定治疗儿童肱骨髁上骨折,具有对骨折断端显露良好、复位容易、操作简单,术后关节功能恢复好等优点。 |
英文摘要: |
Objective To investigate the treatment of children supracondylar fracture of humerus with open reduction and internalfixation from anterior elbow mini-incision.Methods Open reduction from anterior elbow mini-incision and fix with intersect kirschner pins,then to do postoperative functional exercise after 3 weeks.Results 114 cases have been followed up ranging from 2 months to 2 years in this group.In accordance with Flynn elbow functional evaluation criteria of postoperative 6-month, there are 97 cases in optimal level,11 cases in good level, and 6 cases in general level.Optimal rate is 94.7%.Conclusion The method, selecting anterior elbow small incision to open reduction and cross titanium needle fixation to treat children humerus supracondyle fracture has shown that it has many advantages,such as good disclose, reset easy, simple operation and good recovery of joint function. |
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