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目的探讨并分析选用改良切口手术复位内固定治疗儿童肱骨髁上骨折的疗效。方法回顾性分析48例错位明显的儿童肱骨髁上骨折患儿的临床资料,采用肘后正中切口,不切开及切断肱三头肌,而是沿肱三头肌内外侧肌间隙分离进入骨断端将骨折复位后,给予使用克氏针交叉内固定的手术方法。观察分析治疗效果。结果随访3~12个月,骨折均在3个月以内愈合,肘关节功能活动在6~8周左右恢复,无肘关节内外翻畸形,Volkmann缺血挛缩及尺神经损伤等并发症发生。结论采用改良切口手术复位内固定治疗儿童肱骨髁上骨折具有手术视野暴露充分,手术操作简单快捷,创伤小、术后组织粘连少,肘关节功能早期恢复,疗效确切等优点,与其他手术方法比较,优势明显。
Objective To investigate and analyze the curative effect of using modified incision for reduction and internal fixation of supracondylar humerus fractures. Methods The clinical data of 48 cases of supracondylar humerus fractures with obvious dislocation in children were retrospectively analyzed. The middle elbow incision was used to incise and cut off the triceps but to separate into the bone along the medial-lateral muscle space of the triceps After the fracture will be reset to fracture, given the use of Kirschner wire cross internal fixation method. Observation and analysis of treatment. Results The patients were followed up for 3 to 12 months. All the fractures healed within 3 months. The functional activities of the elbow recovered at 6 to 8 weeks. No complications such as valgus deformity, Volkmann’s ischemic contracture and ulnar nerve injury occurred. Conclusions The surgical treatment of children with supracondylar humerus fractures treated with modified incision reduction and internal fixation has the advantages of adequate surgical field exposure, simple and quick operation, less trauma, less postoperative tissue adhesion, early recovery of elbow joint function and definite curative effect compared with other surgical methods , Obvious advantages.