摘要
目的探讨3枚克氏针交叉固定治疗儿童复杂型肱骨髁上骨折的临床效果。方法切开复位后外侧用2枚平行克氏针固定，内侧1枚克氏针交叉固定，石膏外固定2周后开始功能锻炼，术中注意保护好尺神经。结果随访12～18个月，骨折均愈合，3例尺神经损伤患儿术后2个月均恢复。术后6个月根据Flynn等的评价标准：优21例，良4例，可1例。优良率为95．4％。结论克氏针交叉固定治疗儿童复杂型肱骨髁上骨折儿童复杂型肱骨髁上骨折具有方法简单、组织损伤小、能早期功能锻炼、术后骨折端稳定性好等优点。
Objective To investigate the therapeutic efficacy of cross-fixation with three kir- schner-wires on patients with complex displaced supracondylar fracture of the humerus. Methods All fractures were reduced and fixed by inserting two kirschner wires in the lateral side, followed by one crossed medial kirschner wire. It was important that functional exercise after the two weeks of plaster external fixation and protection of the ulnar nerve in the operation. Results The patients were followed up for twelve to eighteen months, all fractures healed, three cases of ulnar nerve injury patients were healed after two months. Assessed by Flynn evaluation standard six months after operation, excellent in twenty- one patients, good in six patients. The excellent and good rate was 95.4%. Conclusions The method of cross-fixation with three kirschner wire on complex displaced supracondylar fracture of the humerus has the advantages of simple, minor wound, early functional exercise and good stability.
出处
《中国实用医刊》
2012年第7期31-32,共2页
Chinese Journal of Practical Medicine
关键词
肱骨髁上骨折
交叉固定
克氏针
Humerus supracondylar fracture
Cross-fixatio
Kirschner wire
