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目的探讨采用肘外侧小切口手术治疗儿童肱骨髁上骨折的疗效。方法对105例儿童肱骨髁上骨折采用肘外侧小切口入路,从肱骨外髁进针,行2枚克氏针交叉固定。结果本组获随访1~3年,骨折于术后4~6个月达到骨性愈合。术后发生肘内翻3例,按照Flynn临床功能评定标准评定肘关节功能:优83例,良14例,可5例,差3例,优良率92.38%。结论应用肘外侧小切口手术治疗儿童肱骨髁上骨折,具有手术入路简单、骨折复位良好、固定可靠等优点。
Objective To investigate the curative effect of surgical treatment of supracondylar fracture of humerus in children with lateral incision. Methods A total of 105 children with supracondylar fracture of the humerus were treated with a lateral incision of the lateral elbow. From the lateral condyle of the humerus, two Kirschner wires were cross-fixed. Results The group was followed up for 1 to 3 years, fracture in 4 to 6 months after surgery to achieve bone healing. Three cases of cubitus varus occurred after operation, and elbow function was evaluated according to Flynn clinical function evaluation criteria: 83 cases were excellent, 14 cases were good, 5 cases were fair and 3 cases were poor. The excellent and good rate was 92.38%. Conclusions The surgical treatment of supracondylar humerus fractures in children with small lateral incision surgery has the advantages of simple surgical approach, good fracture reduction, reliable fixation and so on.