摘要
目的探讨肘关节内外侧联合小切口微创治疗儿童难复性肱骨髁上骨折的临床疗效。方法从2001-2007年,本科对51例难复性儿童肱骨髁上骨折采用内外侧联合手术入路,透视下复位,交叉克氏针固定,观察术后伤肢肿胀情况、早期功能锻炼时间、骨折愈合时间及肘关节功能恢复情况。结果伤肢肿胀程度轻,术后2～4d完全消退,术后2～3周即可取石膏进行早期功能锻炼。随访3个月至5年,全部骨折均愈合,按Flynn标准对术后肘关节功能恢复情况进行评价,其中优43例,良6例,差2例,发生肘内翻3例。结论肘关节内外侧联合小切口治疗儿童难复性肱骨髁上骨折具有微创、肘关节功能恢复良好及肘内翻发生率低等特点。
Objective To explore the clinical efficacy of elbow joint medial and lateral approach in miniincision to treat irreducible supracondylar fracture of the humerus in children. Methods From 2001 to 2007, 51 cases of children patients with irreducible supracondylar fracture of the humerus underwent mini-incision exposure by elbow joint medial and lateral approach, reduction under C-arm fluoroscopy and cross K wire fixation. The tumidity of injured limb, time for early functional exercise and bone healing as well as the function recovery of elbow joint were observed postoperatively. Results The tumidity of injured limb was slight and resolved 2 - 4 d after operation. The plaster was removed in 2 - 3 weeks later and early functional exercises could be carried out. During the follow-ups of 3 months to 5 years, all bone fractures were recovered, including 43 cases having excellent recovery, 6 good recovery, and 2 bad recovery based on the evaluation of postoperative elbow joint function according to Flynn standards, but there were 3 cases of cubitus varus. Conclusion Minimally invasive elbow joint medial and lateral approach is a good method to treat irreducible supracondylar fracture of the humerus of children with elbow functional recovery and low rate of cubitus varus.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2008年第9期861-863,共3页
Journal of Third Military Medical University
关键词
儿童
肱骨髁上骨折
微创术
children
supracondylar fracture of the humerus
minimally invasive operation
