论文部分内容阅读
目的 :对比观察硬纸壳托过屈位肘固定与小夹板外固定治疗儿童肱骨髁上骨折的疗效。方法 :以硬纸壳托过屈位肘固定治疗肱骨髁上骨折 40例 ,与同期应用小夹板外固定的 40例作对比分析。治疗 4周评定疗效。随访 6个月～ 2年观察肘关节功能恢复情况。结果 :近期临床疗效硬纸壳托组均优于小夹板组 (P <0 .0 5 )。随访所见肘内翻发生率 ,硬纸壳托组为 5 % ,小夹板组为 2 2 .5 % (P <0 .0 5 )。结论 :硬纸壳托过屈肘固定治疗儿童肱骨髁上骨折 ,可有效地防止前臂旋转与整复后的再移位 ,减少出现张力性水泡 ,有利于骨折愈合
OBJECTIVE: To compare the curative effect of rigid paper shell over flexion elbow fixation and small splint external fixation on supracondylar humerus fractures in children. Methods: 40 cases of supracondylar fracture of humerus were treated with hard paper shell flexion and elbow fixation, compared with 40 cases of external fixation with small splint in the same period. Treatment for 4 weeks to assess efficacy. Follow-up 6 months to 2 years to observe the functional recovery of the elbow. Results: The recent clinical curative effects of cardioprotective group were better than the cleat group (P <0.05). The incidence of cubitus varus seen at follow-up was 5% in the tissue care group and 22.5% in the small splint group (P <0.05). CONCLUSIONS: The hard paper shell supporting elbow fixation for the treatment of supracondylar humerus fractures in children can effectively prevent the forearm from rotating and re-displacing after reconstructing, reduce the occurrence of tension blisters, and promote fracture healing