我院1985年8月～1995年8月,对48例儿童肱骨近端骨折采用 X 线监视下手法整复闭合经皮穿针治疗,取得了满意的效果,现报告如下。临床资料:本组48例,男29例,女19例,年龄4～14岁,平均11.2岁。左侧30例,右侧18例。肱骨近端骨骺滑脱21例,肱骨外科颈骨折27例。随访7个月～8年,平均4年3个月,优:34例,良:13例,满意1例,优良率为97.9%。治疗方法:患儿平卧于 X 线电视透视床上,用1%普鲁卡因作局部麻醉,根据骨折类型进行手法复位,复位成功后两助手对抗牵引维持位置。术者用φ2 mm 的光滑克氏针经皮做交叉固定,一枚从骨折远端骨折线下2 cm 处与肱骨干长轴呈45°角, Our hospital from August 1985 to August 1995, 48 cases of proximal humerus fractures of children using X-ray monitoring under the treatment of closed percutaneous needle puncture and achieved satisfactory results, are as follows. Clinical data: The group of 48 patients, 29 males and 19 females, aged 4 to 14 years, mean 11.2 years. Left in 30 cases, right in 18 cases. Proximal humeral epiphysis slippage in 21 cases, surgical neck fracture in 27 cases. The follow-up ranged from 7 months to 8 years, with an average of 4 years and 3 months. The results were excellent in 34 cases, good in 13 cases and satisfactory in 1 case. The excellent and good rate was 97.9%. Treatment: Children were lying on the X-ray television fluoroscopy bed, with 1% procaine for local anesthesia, according to the type of fracture reduction, after the successful reset two assist against traction to maintain position. The surgeon with φ2 mm smooth Kirschner wire cross-fixed to do so, one from the fracture distal fracture line 2 cm Department and the long axis of the humeral shaft was 45 ° angle,