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目的:观察闭合复位经皮穿针固定治疗儿童肱骨髁上骨折的临床疗效。方法:采用闭合复位经皮穿针固定治疗儿童肱骨髁上骨折83例。结果:83例患者骨折全部愈合,无Volkmann挛缩和尺神经损伤及术后骨折再移位,2例发生了肘内翻。所有患者针孔无感染,术后3～6周X线片示骨折均已愈合,拔除克氏针开始肘关节功能锻炼。患肘关节功能优64例,占77.1%;良17例,占20.5%;可2例,占2.4%。结论:闭合复位经皮穿针固定治疗儿童肱骨髁上骨折临床疗效显著。
Objective: To observe the clinical effect of closed reduction and percutaneous pin fixation on supracondylar fracture of humerus in children. Methods: 83 cases of supracondylar fractures of humerus were treated with closed reduction and percutaneous pin fixation. Results: All the fractures were healed in 83 patients. No Volkmann contracture, ulnar nerve injury and postoperative dislocation were found. Two cases had cubitus varus. All patients with no infection of the pinhole, 3 to 6 weeks after the X-ray showed fracture were healed, remove the Kirschner wire to start elbow functional exercise. Elderly patients with elbow dysfunction 64 cases, accounting for 77.1%; good in 17 cases, accounting for 20.5%; 2 cases, accounting for 2.4%. Conclusion: Closed reduction and percutaneous pin fixation of supracondylar humerus fractures have a significant clinical effect.