摘要
目的 探讨肱骨髁上骨折并发症发生率、发生原因及防治对策。方法 对 30 2例肱骨髁上骨折伴合并症的 98例进行临床分析。结果 血管损伤 5 4例 ( 5 5 1 % ) ,神经损伤 2 3例 ( 2 3 4% ) ,感染 4例 ( 4 1 % ) ,肘内翻 1 4例 ( 1 4 3% ) ,肘外翻 3例 ( 3 1 % )。结论 血管损伤多为骨折断端刺激和压迫肱动脉 ,神经损伤由于神经挫伤、牵拉和压迫引起 ,感染系清创不彻底 ,肘内翻大部分系尺偏型骨折 ,肘外翻由于骨折矫正不当所致 ;合理的复位、良好的固定及正确的X线评价是防治并发症的重要措施。
Objective To investigate the cause,incidence and the measures for prevention and management of complication of supracondylar fracture of the humerus.Methods Of the 302 cases of supracondylar fracture of humerus,the complication of 98 cases were analysed.ResultsVascular injuries occurred in 54 cases(55 1%),23 cases had nerve injury(23 4%),4 cases had infection(4 1%),14 cases had cubitus varus(14 3%) and 3 cubitus valgus(3 1%)Conclusion Vascular injury was mostly caused by trauma from the fractured ends or compression of the brachial artery and nerve injury mostly caused contusion or compression on the nerve fibers.Incomplete debride could lead to infection.Cubitus varus mostly related to the ulnar deviation of the fracture and cubitus valgus was owing to incorrect reduction of fracture.Satisfactory reduction,good fixation and X rays reviewuation are key points for the prevention and treatment to prevent complication of supracondylar fracture of humerus.
出处
《中国骨伤》
CAS
2001年第4期200-201,共2页
China Journal of Orthopaedics and Traumatology
基金
国家自然科学基金资助项目!(No .3930 0 1 76)
