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目的评价闭合复位经皮克氏针内固定治疗儿童肱骨髁上骨折的疗效。方法对32例GartlandⅡ、Ⅲ型肱骨髁上骨折在基础麻醉下进行闭合复位,C型臂X线透视下经皮穿克氏针交叉内固定与石膏外固定。结果随访6～21个月,平均11个月,骨折全部愈合,愈合时间4～6周,未发生延迟愈合。参照Flyun功能评定标准综合屈伸功能评价结果:优17例,良10例,一般4例,差1例,优良率84.37%。结论闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折具有创伤小、固定可靠、骨折愈合快、功能恢复好,临床效果满意。
Objective To evaluate the curative effect of closed reduction and percutaneous Kirschner wire fixation for supracondylar humerus fractures in children. Methods 32 cases of Gartland Ⅱ and Ⅲ supracondylar humerus fractures were closed and closed under basic anesthesia. The C - arm X - ray was used to percutaneously fixate Kirschner wire with plaster fixation. Results The patients were followed up for 6 to 21 months with an average of 11 months. All the fractures healed, and the healing time was 4 to 6 weeks. No delayed healing occurred. According to the evaluation criteria of Flyun function, the comprehensive evaluation of flexion and extension function was excellent in 17 cases, good in 10 cases, fair in 4 cases and poor in 1 case, the excellent and good rate was 84.37%. Conclusion Closed reduction and percutaneous Kirschner wire fixation of supracondylar humerus fractures in children with less trauma, reliable fixation, rapid fracture healing, good functional recovery, clinical results satisfactory.