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目的:观察手法复位、经外髁穿针治疗儿童肱骨髁上骨折的临床疗效。方法:23例肱骨髁上骨折患儿,伸直型20例,屈曲型3例。采用静脉全麻或臂丛麻醉,先在C型臂X线机引导下闭合复位,然后经外髁穿入2~3枚克氏针固定骨折。结果:本组23例均获得随访,随访时间3~12月。骨折全部愈合,无针孔感染,无Volkmann挛缩,无尺神经损伤,无明显肘内翻畸形。优18例,良4例,可1例。结论:闭合复位经外髁穿针固定治疗儿童肱骨髁上骨折具有创伤小,骨折固定稳定,防止Volkmann挛缩,尺神经医源损伤以及肘关节功能恢复良好等特点。
Objective: To observe the clinical curative effect of manual reduction and supracondylar humerus supracondylar fractures. Methods: Twenty-three cases of supracondylar humerus fractures were straightened in 20 cases and flexion in 3 cases. The use of intravenous anesthesia or brachial plexus anesthesia, first in the C-arm X-ray machine closed under the guidance of reset, and then penetrated through the lateral condyle 2 ~ 3 Kirschner wire fixation fractures. Results: All 23 patients were followed up for 3 ~ 12 months. All fractures healed, no pinhole infection, no Volkmann contracture, no ulnar nerve injury, no significant cubitus varus deformity. Excellent in 18 cases, good in 4 cases, in 1 case. CONCLUSION: Closed reduction and supracondylar mandibular supracondylar fractures are characterized by less trauma, more stable fractures, prevention of Volkmann contracture, rupture of ulnar nerve, and good recovery of elbow joint function.