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目的:探讨肱骨髁上骨折克氏针联合捆绑带内固定的力学特点及临床应用价值。方法:选取2012年1月至2014年5月在本科住院治疗的3~14岁Gartland Ⅲ型儿童肱骨髁上骨折36例,采用桡侧入路克氏针+捆绑带内固定的方法治疗。末次随访按照Flynn标准评价肘关节功能法进行总体疗效评价。结果:所有患者平均随访时间25个月,4~7周骨折全部愈合。按Flynn评定标准:优28例,良5例,可3例,差0例,优良率91.67%.结论:克氏针+捆绑带内固定治疗Gartland Ⅲ型儿童肱骨髁上骨折具有疗效确切,桡侧加压力度可控,能有效避免肘内翻畸形的发生,值得临床推广。
Objective: To investigate the mechanical characteristics and clinical application value of kirschner wire fixation in humeral supraclavicular fracture combined with banding. Methods: From January 2012 to May 2014, 36 children with Gartland Ⅲ type supracondylar humerus who were hospitalized in our hospital from 3 to 14 years old were enrolled in this study. They were treated by Kirschner wire combined with internal fixation with radial approach. The final follow-up in accordance with the Flynn standard evaluation of elbow function method for the overall efficacy evaluation. Results: All patients were followed up for an average of 25 months. All fractures were healed 4 to 7 weeks later. According to the criteria of Flynn, 28 cases were excellent, 5 cases were good, 3 cases were fair, and 0 case was poor.The excellent and good rate was 91.67% .Conclusion: Kirschner wire and banding band fixation are effective in treating supracondylar fractures of Gartland Ⅲ children, Side of the pressure controllable, can effectively prevent the occurrence of cubitus varus deformity, it is worth clinical promotion.