摘要
目的 探讨儿童严重肱骨髁上骨折合并神经损伤早期积极切开复位、神经探查整复的必要性及术后肘关节功能、神经功能康复。方法 本组 4 8例均早期切开复位 ,同时行神经探查整复术 ,术后施行早期功能锻炼及促进神经功能恢复的一系列非手术治疗。结果 随访 36例 ,其肘关节功能及神经功能术后恢复 :优 2 9例 ,良 5例 ,差 2例。结论 对小儿严重肱骨髁上骨折合并神经损伤宜早期切开复位并行神经探查整复 。
Objective To disscuss the early and active surgical treatment and function rehabilitation of children with serious supracondylar fracture of humerus and trauma of nerves treated with open reduction.?Methods Forty eight patients were treated with open reduction and nerve exploration and reconstruction at the same time; and early functional motion and non operation treatment of promoting rehabilitation of nerve function.?Results Thirty six cases were followed up. As far as the rehabilitation of the elbow joint and nerve function are concerned,29 cases are found to be excellent,5 good, and 2 poor.?Conclusion For treating children with serious supracondylar fracture of humerus and trauma of nerves,the operation and nerve exploration should be conducted as early as possible. Exercise of functional rehabilitation can improve the final healing of fracture and functional rehabilitation of elbow joint.
出处
《创伤外科杂志》
2002年第6期333-335,共3页
Journal of Traumatic Surgery
关键词
肱骨骨折
神经
外科手术
康复
儿童
supracondylar fracture
nerve
surgical treatment
rehabilitation
children
