摘要
目的儿童肱骨髁间骨折发生概率低,相关文献少,治疗方法存在争议,对17例肱骨髁间骨折作总结,以期探讨该病的治疗方法及效果。方法17例移位明显的骨折且施行切开复位者,通过外观、功能及X线片表现进行评价。结果7例满意,均为钢板、螺钉坚强内固定者;3例较满意,其中1例为坚强内固定,2例为克氏针固定;7例差,均为克氏针固定。结论治疗效果与多因素相关。获得满意效果应做到:良好复位,坚强固定及早期锻炼。
Objective To review the long term results of open reduction for children with intercondylar fracture. Methods The open reduction and internal fixation was performed on 17 children （male 12 and female 5, mean age 13. 1 years） with obvious displacement of intercondylar fractures （right 11 and left 6） from 1998 to 2003. All of them underwent follow-up （average 2. 6 years, from 9 months to 6 years） including the appearance and the function of the elbow and the manifestation of Xray film. Results There were 7 patients who underwent rigid fixation got the excellent results, 1 with rigid fixation and 2 with K wires fixation got fair results, and the other 7 patients with K wires fixation got poor results. Conclusions The satisfactory results can be gained in children with intercondylar fracture by good reduction, rigid fixation and early movement.
出处
《中华小儿外科杂志》
CSCD
北大核心
2006年第2期84-86,共3页
Chinese Journal of Pediatric Surgery
关键词
肱骨骨折
骨折固定术
内
Humeral fractures
Fracture fixation,internal
