摘要
目的：探讨内外侧穿针治疗儿童肱骨髁上骨折治疗效果。方法：回顾性分析应用克氏针内固定治疗肱骨髁上骨折83例，其中GartlandⅡ型48例，GartlandⅢ型35例；单纯桡侧穿针46例，交叉穿针37例。结果；本组随访时间6～36个月，平均14个月。根据陈公林等肘关节功能评定标准，桡侧穿针组优38例，良7例，差1例，优良率为97．8％，无尺神经损伤病例，1例患者残余有肘内翻畸形；交叉穿针组优28例，良8例，差1例，优良率97．3％，1例患者尺神经损伤。结论：单纯桡侧穿针治疗儿童肱骨髁上骨折简单有效，同时避免了医源性尺神经损伤的危险。应用内侧穿针时，必须触及内上髁并将肘关节维持在半屈曲位，必要时要局部切开显露内上髁，以减少尺神经损伤的危险性。
Objective;To evaluate the result of the crossed and lateral pins fixation in the treatment of supracondylar fracture of humerus in children. Methods： The therapeutic results of 83 patients with supracondylar fracture of humerus were retrospectively analyzed. Among them, Gartland type Ⅱ had 48 cases, Gartland type Ⅲ had 35 cases. 46 cases and 37 cases were respectively treated with simple lateral pins fixation and crossed pin fixation. Results：All the patients were followed up from 6 to 36 months. According to criteria of Chengonglin＇ s elbow joint：The patients with simple lateral pin fixation, 38 cases obtained excellent, 7 good, 1 poor, the rate of excellent and good was 97.8 %, 1 case had deformity of cubitus yarns, and ulnar nerve injury had not been found;the patients with crossed pin fixation, 28 cases obtained excellent, 8 good, 1 poor, the rate of excellent and good was 97.3%, 1 cases had ulnar nerve injury. Conclusion-Simple lateral pin fixation is safe and effective for supracondylar fracture of humerus with Gartland type Ⅱ and Gartland type Ⅲ in children. It can prevent iatrogenic ulnar nerve injury. Using medial pin fixation must palpate medial epicondyle and keep elbow joint in semi-flexed position. Maybe it demands to expose medial epicondyle with local incision in order to decrease ulnar nerve injury.
出处
《中国骨伤》
CAS
2006年第1期9-10,共2页
China Journal of Orthopaedics and Traumatology
关键词
肱骨髁上骨折
经皮穿针固定
Supracondylar fracture of humerus
Percutaneous pin fixation
