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目的介绍一种治疗儿童肱骨髁上骨折的新手术入路,即肱三头肌两侧开窗入路。方法对儿童肱骨髁上骨折16例采用肘后正中切口,从肱三头肌的两侧作2个开窗入路显露骨折端,行骨折复位交叉克氏针内固定。结果此入路术中显露骨折端充分,方便骨折复位内固定,术后随访3个月~2年,所有骨折均愈合,肘关节功能恢复理想。结论采用肱三头肌两侧开窗入路手术治疗儿童肱骨髁上骨折,对肱三头肌伸肌装置损伤小,显露骨折端容易,可有效防止桡神经损伤和肘肌失神经支配,肘关节功能恢复佳,是儿童肱骨髁上骨折的理想入路选择。
Objective To introduce a new approach for the treatment of supracondylar fracture of the humerus in children, ie to open the window on both sides of the triceps. Methods Sixteen cases of supracondylar fracture of humerus were treated with median incision of the elbow, and two fenestrations were made from both sides of the triceps to expose the fracture. The fracture was reconstructed with Kirschner wire fixation. Results This approach revealed that the fracture end was sufficient to facilitate fracture reduction and internal fixation. All cases were followed up for 3 months to 2 years. All the fractures healed and the elbow joint function recovered well. Conclusion The trochanteric approach to the femoral supracondylar fractures in the pediatric patients with femoral trochanteric femoral fractures has the advantages of less damage to the triceps extensor device and easier indication of the fracture, which can effectively prevent the degeneration of the radial nerve and the denervated elbow muscle. Good joint function recovery, is the ideal choice for supracondylar humerus fractures in children.