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目的 :探讨肱骨髁上骨折手术方法。方法 :收集近几年我院肱骨髁上骨折的患儿,随机分为A组和B组,A组接受切开复位外侧两枚平行克氏针固定,B组接受闭合复位。对比两组术后患侧屈伸度、术后携带角减少度数。结果 :两组术后屈伸度、术后携带角减少度数差异有统计学意义(P<0.05)。结论 :儿童肱骨髁上骨折治疗方法多样,通过本次研究我们认为切开复位外侧两枚平行克氏针固定疗效肯定,对关节功能恢复好,治疗的同时着重应预防神经、血管损伤。
Objective: To investigate the surgical methods of supracondylar humerus fractures. Methods: Children with supracondylar fractures of the humerus in our hospital were collected and randomly divided into group A and group B. Group A received two parallel Kirschner wires fixed on the outside of incision and reduction, and group B received closed reduction. The postoperative ipsilateral flexion and extension, postoperative carrying angle reduction degree were compared. Results: There was significant difference between the two groups in postoperative flexion and extension, the degree of postoperative carrying angle reduction (P <0.05). Conclusion: The treatment of supracondylar humerus fractures is diverse. Through this study, we believe that the two parallel Kirschner wires fixed by open reduction and reduction are effective, and the recovery of joint function is good. At the same time, the treatment should focus on prevention of nerve and vascular injury.