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目的:探讨超外翻夹板固定在治疗幼儿肱骨髁上尺偏型骨折中的作用和意义。方法:对照分析103例1～4岁肱骨髁上尺偏型骨折患儿的治疗过程,其中A组(55例)采用超外翻夹板固定,B组(48例)采用传统小夹板固定,通过观测总体疗效、肘内翻畸形发生率、肘内翻程度、骨折愈合时间和肘关节功能恢复时间比较2组的临床疗效。结果:2组总体疗效、肘内翻畸形发生率、肘内翻程度比较,差异有统计学意义(P<0.05);2组间骨折愈合时间、肘关节功能恢复时间比较,差异无统计学意义(P>0.05)。结论:超外翻夹板固定具有提高疗效、降低肘内翻畸形发生率和发生程度,减轻患儿痛苦的优点,值得临床推广。
Objective: To investigate the role and significance of suprakeletal fixation in the treatment of partial humerus supracondylar fractures in children. Methods: A total of 103 children aged 1 to 4 years old with partial supracondylar humeral fractures were enrolled in this study. Group A (55 cases) were treated with ultra-evertebral plate fixation. Group B (48 cases) The curative effect of the two groups were compared with the overall curative effect, the incidence of cubitus varus deformity, the degree of cubitus varus, the healing time of fracture and elbow joint function recovery time. Results: The overall curative effect, the incidence of cubitus varus deformity and the degree of cubitus varus in the two groups were statistically significant (P <0.05). There was no significant difference between the two groups in fracture healing time and functional recovery time of elbow (P> 0.05). Conclusion: Epidus clamp fixation has the advantages of improving curative effect, reducing the incidence and occurrence of cubitus varus deformity and relieving the pain of children, and is worthy of clinical promotion.