摘要
目的探讨以生物学固定及间接复位技术为基础，微创治疗儿童肱骨髁上不稳定骨折的临床疗效。方法对86例儿童肱骨髁上不稳定骨折采用闭合复位，部分加内侧小切口，然后经皮克氏针交叉固定辅加石膏托外固定进行治疗。结果术后随访时间为6个月至5年（平均2．5年），骨折全部愈合，平均愈合时间为1．2个月。参照Num临床功能评定标准评定：优78例，良6例，可2例；优良率为98％。结论以微创为原则闭合复位，经皮交叉克氏针内固定治疗儿童肱骨髁上不稳定骨折，该方法符合生物学固定的观点，创伤小，并发症少，恢复快，疗效满意。
Objective To explore the clinical treatment outcomes of minimally invasive surgery for children with unstable humerus epicondyle fractures using biological internal fixation and indirect reduction. Methods This series involved 86 children with unstable humerus epicondyle fractures. They were treated with close reduction and pereutaneous Kirsclmer wire cress fixation assisted with small incisions on the medial side. Immobilization was supplemented with a plaster cast. Results Postoperative follow up ranged from 6 months to 5 years （average 2.5 years）. All fractures healed. The average time of fracture healing was 1.2 month. According to Flum clinical functional assessment standard, 78 cases had excellent results, 6 cases good and 2 eases fair. The good-excellent rate was 98%. Conclusion Minimally invasive surgery for children with unstable humerus epieondyle fractures including close reduction and pereutaneous fixation by cross K-wires. It obeys biomeehanical laws, causes minimal trauma and few complications, achieves rapid recovery and leads to satisfactory treatment outcome.
出处
《中华手外科杂志》
CSCD
北大核心
2009年第4期208-210,共3页
Chinese Journal of Hand Surgery
关键词
肱骨骨折
儿童
外科手术
微创性
Humeral fractures
Child
Surgical procedures, minimally invasive
