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目的比较两种手术方法治疗儿童重度肱骨髁上骨折的疗效。方法将110例肱骨髁上骨折患者随机分为改良组和对照组各55例,改良组内外侧联合小切口克氏针钢丝张力带内固定,对照组交叉克氏针内固定,观察两组术后疗效。结果改良组平均骨折愈合时间比对照组提前15 d,肘关节功能恢复较好,并发症发生率较少,两组比较差异有统计学意义(P<0.05)。结论肘内、外联合小切口克氏针钢丝张力带固定较传统手术方式好,是治疗肱骨髁上骨折的一种有效方法。
Objective To compare the curative effect of two surgical methods in the treatment of supracondylar fracture of humerus in children. Methods One hundred and ten patients with supracondylar humerus fractures were randomly divided into modified group and control group, with 55 cases in each group. The modified group was treated with Kirschner wire internal fixation with small incision and the control group with cross Kirschner wire fixation. After the effect. Results The average fracture healing time in the modified group was 15 days earlier than that in the control group, and the recovery of elbow joint function was better and the complication rate was lower. There was significant difference between the two groups (P <0.05). Conclusion It is an effective method for the treatment of supracondylar fractures of the humerus that the internal fixation with small incision Kirschner wire tension band is better than the traditional operation method.