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报道自1970~1985年间收治儿童难复性肱骨外科颈骨折经切开复位内固定治疗共33例,25例在成年后获得随访,其中3例发现患侧肱骨较健侧缩短,分别为2.5cm、3.0cm及2.0cm,占随访病例的12%。手术时年龄分别为11岁、9岁、12岁。作者对发生原因,手术和内固定的关系作了讨论。指出克氏针与螺丝钉虽在发生率中无差异,但以克氏针内固定、早期取出为理想,螺丝钉对骺板损伤机会较克氏针大,应慎重。
Reported from 1970 to 1985 admitted to children with refractory fractures of the humerus neck fracture treated by open reduction and internal fixation for a total of 33 cases, 25 cases were followed up in adulthood, of which 3 cases found ipsilateral humerus than the contralateral side shortened, respectively, 5cm, 3.0cm and 2.0cm, accounting for 12% of the follow-up cases. The age of surgery were 11 years old, 9 years old, 12 years old. The authors discussed the causes, the relationship between surgery and internal fixation. Kirschner wire and screw pointed out that although there was no difference in the incidence, but Kirschner wire fixation, early removal as the ideal screw injury to the epiphyseal plate Kirschner wire greater opportunities should be careful.