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目的:探讨闭合复位克氏针内固定治疗小儿肱骨髁上骨折的应用效果。方法:2012年2月至2014年2月以在我院接受治疗的20例肱骨踝上骨折患儿为研究对象,用闭合复位克氏针内固定骨折术进行临床治疗,术后用石膏托外固定,并给予患儿康复护理,手术结束后随访12~24个月,观察患儿骨折治疗效果。结果:20例患儿随访时间12~24个月,平均13.6个月,治疗3~6周后骨折全部愈合,无Volkmans痉挛、肘外翻和肘内翻畸形愈合、血管和神经损伤等并发症。肘关节功能和外观评估结果中,患儿获优者11例(55%),良7例(35%),可2例(10%),差0例(0%),优良率90%。结论:闭合复位克氏针内固定治疗小儿肱骨髁上骨折优良率高,疗效显著,值得临床推广应用。
Objective: To investigate the effect of closed reduction Kirschner wire fixation for the supracondylar humerus fractures in children. Methods: From February 2012 to February 2014, 20 children with humeral ankle fractures treated in our hospital were treated with closed reduction Kirschner wire internal fixation fractures. After operation, the patients were treated with plaster Fixed, and give children rehabilitation care, after the end of surgery were followed up for 12 to 24 months, observe the effect of fracture treatment in children. Results: Twenty cases were followed up for 12-24 months with an average of 13.6 months. All fractures were healed after 3 to 6 weeks of treatment without complications of Volkmans spasm, elbow valgus and cubitus varus, vascular and nerve injury . In elbow joint function and appearance assessment, 11 cases (55%) were good, 7 (35%) good, 2 (10%) fair and 0 (0%) fair. The excellent and good rate was 90%. Conclusion: Closed reduction Kirschner internal fixation for supracondylar humerus fractures in children with excellent and good rate, significant effect, worthy of clinical application.