| 摘要: |
| ［摘要］ 目的 探讨闭合复位单向克氏针内固定治疗儿童肱骨髁上骨折的方法及效果。方法 回顾分析1999～2008年治疗126例儿童肱骨髁上骨折病例，在臂丛加静脉复合麻醉下运用简易透视闭合复位单向克氏针内固定治疗。随访时间为6～13个月。结果 所有病例均骨性愈合，平均愈合时间6.5周，疗效评定参照Dodgt′s标准，优89例，良34例，3例转开放性手术治疗。结论 闭合复位单向克氏针内固定治疗肱骨髁上骨折具有创伤小、内固定可靠、住院时间短、无肘部手术瘢痕等优点。 |
| 关键词: 肱骨髁上骨折 闭合复位 内固定 克氏针 |
| DOI：10.3969/j.issn.1674-3806.2011.01.21 |
| 分类号:R 681.7 |
| 基金项目: |
|
| Clinical observation on closed replacement and one-way kirschner wire internal fixation in the treatment of 126 children with humerus supracondylar fracture |
|
LI Jia-li
|
|
Tiandong County People′s Hospital, Guangxi 531500,China
|
| Abstract: |
| ［Abstract］ Objective To study the method and effect of closed replacement and one-way krischner wire in the treatment of children with humerus supraccondylar fracture.Methods One hundred and twenty-six children with humerus supracondylar fracture treated in our hospital from 1999 to 2008 were retrospectively analyzed.These patients were treated by closed replacement and one-way kirschner wire under brachial plerus anesthesia plus intravenous combined auesthesis and simple perspective. The follow up time ranged from 6～13 months.Results The bone healing were obtained in all patients. The average healing time was 6.5 weeks. The curative effect evaluation was performed on the basis of the Dodgt′s standard, excellent effect were obtained in 89 patients,good in 34 patients, 3 patients were transferred to surgery for further treatment.Conclusion The closed replacement plus one-way kirschner wire internal fixation in treatment of humerus supracondylar fracture has advantages such as less damage, reliable internal fixation, shorter hospital time, scarless healing of elbow and so on. |
| Key words: Humerus supracondylar fracture Closed replacement Internal fixation Kirschner wire |
