儿童肱骨髁上骨折的治疗 (pdf)

    [摘要] 目的 探讨儿童肱骨髁上骨折的治疗方法。方法 1996年7月～2004年12月收治儿童肱骨髁上骨折36例，根据不同骨折类型采用不同的方法治疗，18例手法复位、石膏外固定，6例尺骨鹰嘴牵引，12例手术复位内固定。结果 全部病例获得5～30个月平均14个月的随访，骨折均获骨性愈合，愈合时间5～11周，平均7.5周。根据Flynn临床评价评定疗效，优27例，良5例，可3例，差1例。优良率88.9%。无骨化性肌炎、肘关节强直等严重并发症。结论 儿童肱骨髁上骨折因手术切开复位可导致关节僵硬和骨化性肌炎的危险，除去开放骨折及严重血管损伤的患者需要手术外，均可以采用闭合复位的疗法；良好的复位是功能恢复的基础；早期主动活动可以获得良好的预后。

    [关键词] 肱骨髁上骨折；肘关节；儿童

    Treatment of supracondylar humerus fractures in children

    QIAN Bing-gen，WANG Ke-hua，ZHANG Liang.The Third People’s Hospital of Changzhou，Changzhou 213001，China

    [Abstract] Objective To evaluate curative effects of different treatments in the supracondylar Fracture of humerus in children.Methods From July 1999 to December 2004，36 cases of supracondylar fracture of humerus in children cured with different methods，18 by plaster cast，6 by traction in anconeal process of ulna，and 12 by internal fraction fixation.Results All patients were examined for function and deformity.There were no patient developed myositis ossificans，or elbow ankylosis at follow-up evaluation.The fracture was ossified，the elbow joint function instauration ......