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目的探讨内固定治疗儿童重度肱骨髁间骨折的手术方法、内固定方式和临床疗效。方法对17例发生移位明显的骨折且施行切开复位患者,通过外观、功能及X线片表现进行治疗效果评价。结果 7例满意,均为钢板、螺钉坚强内固定者;3例较满意,其中1例为坚强内固定,2例为克氏针固定;7例差,均为克氏针固定。结论治疗效果与多因素相关,获得满意疗效应做到:良好复位、坚强内固定及早期锻炼。
Objective To investigate the surgical methods, internal fixation and clinical efficacy of internal fixation in the treatment of severe humeral intercondylar fractures in children. Methods Seventeen patients with obvious displaced fractures were treated with open reduction and reduction. The therapeutic effect was evaluated by appearance, function and X-ray findings. Results Seven patients were satisfied with plate fixation and screw internal fixation. Three patients were satisfied. Among them, one was internal fixation with strong fixation and the other two were Kirschner wire fixation. Seven patients were poor with Kirschner wire fixation. Conclusions The therapeutic effect is related to many factors and the satisfactory curative effect is achieved: a good reduction, strong internal fixation and early exercise.