摘要
目的 探讨儿童Ⅲ型肱骨髁上骨折伴神经损伤的临床特点及手术治疗的必要性。方法对２４例Ⅲ型肱骨髁上骨折伴神经损伤的患儿采用肘前外侧切口，骨折断端切开复位并行神经探查术。结果２４例神经损伤多数在４周以内恢复，２例在３个月左右恢复，１例在４个月后恢复，无一例近期发生肘内翻畸形。结论在儿童Ⅲ型肱骨髁上骨折伴神经损伤的患者中，以挫伤为主，锻压伤次之，部分断裂及完全断裂伤少见。手术不仅有利于骨折断端达到解剖复位，而且可以避免因保守治疗使神经损伤加重或延误治疗时机。
To describe the special clinical features of type Ⅲ supracondylar humerus fractures associated with nerve injuries in children and the role of open reduction for the management. Methods 24 cases of type Ⅲ supracondylar humerus fractures with nerve injuries were treated by open reduction, nerve exploration and surgical repair through an anterolateral approach of the elbow. Results The symptoms of nerve injuries recovered within 4 weeks in most of the cases. 2 cases recovered at 3 monthes and 1 up to 4 month. No cubitus varus happened. Conclusion Most nerve injuries in tyPe Ⅲ supracondylar humerus fractures in children are caused by entrapment of the nerve. Injury by forceps holder is secondary, but incomplete or complete neurotmesis is rare. Open reduction is beneficial for anatomical reduction and recovery of nerve injury.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2000年第6期333-335,共3页
Chinese Journal of Orthopaedics
