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目的探讨伸直型肱骨髁上骨折复位以及其固定方法与疗效。方法 440例儿童伸直型肱骨髁上骨折患儿,对其采用牵纳旋屈复位法加微创克氏针固定方法进行针对性治疗,并于术后10~36个月内实施随访。分析疗效。结果平均随访15个月,所有患儿均骨性愈合。患儿中有尺神经一过性损伤3例,未经特殊治疗经观察10周后均恢复。平均住院时间7 d。结论使用牵纳旋屈复位法对骨折进行复位,同时进行单侧或交叉克氏针固定,能够取得较为理想的临床疗效,值得在临床中推广使用。
Objective To investigate the reduction of the supracondylar fracture of humerus as well as its fixation and curative effect. Methods A total of 440 children with supracondylar humerus fractures were treated with the method of tension reduction combined with minimally invasive Kirschner wire fixation and follow-up within 10 to 36 months after operation. Analysis of efficacy. Results The average follow-up of 15 months, all children were bony union. Children with ulnar nerve injury in 3 cases, without special treatment were observed after 10 weeks were restored. The average length of stay was 7 days. Conclusions The use of entrapment and flexion reduction in the reduction of fractures, while unilateral or cross Kirschner wire fixation, can achieve a more satisfactory clinical efficacy, it is worth to promote the use of the clinic.