摘要
目的:探讨改良穿针并外张力带固定治疗GartlandⅢ型儿童肱骨髁上骨折的临床疗效。方法:自2009年2月至2010年11月采用肘外侧切口、改良穿针(内外髁交叉并外髁辅助穿针)并外侧外张力带固定(交叉针尾相互钩绕)法治疗GartlandⅢ型儿童肱骨髁上骨折79例,其中男47例,女32例;年龄2.5～14岁,平均8.7岁。受伤至手术时间2h～8d。记录手术前后肘关节活动度及提携角,按照Flynn评定标准评定疗效。结果:61例获得随访(18例失访),时间6～30个月,平均13.5个月。根据Flynn评定标准:优53例,良7例,可1例。结论:采用外侧小切口复位后行改良穿针并外侧外张力带固定治疗儿童肱骨髁上骨折具有固定牢固、恢复快、并发症少的特点,是治疗儿童肱骨髁上骨折较理想的方法之一。
Objective ：To explore therapeutic effects of Modified pinning combined with external tension band for the treatment of Gartland typeⅢ humeral supracondylar fractures in children. Methods：From February 2009 to November 2010,79 children with Gartland type m humeral supracondylar fractures were treated by modified pinning （pinning cross in- ternal and external condyle assisted with lateral condyle） combined with external tension band （ crossing needle end and hook- ing around） through lateral approach of elbow. There were 47 males and 32 females ,with an average age of 8.7 years （ranging from 2.5 to 14 years）. The time from injury to operation was 2 h to 8 d. The elbow joint function and Carrying angle were ob- served before and after treatment. The Flynn criteria were used to evaluate therapeutic effects. Results：Sixty-one patients were followed up （18 patients＂ data were lost） for 6-30 months （mean 13.5 months）. According to Flynn criteria,53 patients got excellent result, 7 good and 1 fair. Conclusion：Treatment of child Gartland type Ⅲ humeral supracondylar fractures with modified pinning combined with external tension band through lateral approach of elbow is believed to be an ideal method, which has advantages of reliable fixation, rapid recovery and less complications.
出处
《中国骨伤》
CAS
2012年第8期690-693,共4页
China Journal of Orthopaedics and Traumatology
关键词
肱骨骨折
骨折固定术
内
儿童
Humeral fractures
Fracture fixation,internal
Child
