摘要
目的提供合理的治疗方法，预防小儿防骨髁上骨折并发症发生。方法采用手法整复，屈肘90°、前管旋后90°和外展15°～25°位长臂石膏托矫形固定，必要时配合闭式穿针内固定。治疗小儿伸直尺偏型防骨髁上骨折338例。结果经6个月～16年随访观察，327例外形和功能完全恢复正常，占96．75％，11例发生不同程度肘内翻畸形，占3．25％，未发生其他并发症。结论该方法可预防肘内翻、缺血性肌挛缩和肘关节伸屈功能受限等并发症发生，是治疗小儿伸直尺偏型肱骨踝上骨折的理想方法。
Objective To evaluate non-operative treatment of supracondylar fracture of humerus in children. Methods The elboes were flexed 90°,forearm supinated 90°and abducted 15-25°. Fixation was achieved with plaster or external fixator. Results Of the 338 patients foIlowed-up (range = 6 months to 16 years), 327(96. 75% ) had normal configuration and function. 11 patients (3. 25 % ) developed cubitus varus deformity. No other compication was encountered. Conclusion Manual reduction and external fixa-tion provides viable alternative in the management of supracondylar fracture of humerus in children with low complication.
出处
《中华小儿外科杂志》
CSCD
1999年第6期356-357,共2页
Chinese Journal of Pediatric Surgery
