摘要
目的观察闭合复位经皮克氏针内固定治疗小儿肱骨髁上骨折的临床疗效。方法选自我院收治的小儿肱骨髁骨折25例,采用闭合复位经皮克氏针内固定,术后行石膏托外固定。患儿术后回访10~16个月,平均随访13个月。随访时检查患儿患侧和健康侧关节的屈伸度和携带角。结果患儿获得骨性愈合,无一例出现神经肌肉挛缩及医源性神经损伤,其中优12例,良10例,优良率为88%。结论采用闭合复位经皮克氏针内固定法治疗小儿肱骨髁上骨折,优势在于创伤小,骨折固定稳定,术后肘关节功能恢复满意。
Objective To investigate the clinical effect of applying closed reduction and percutaneous Kirschner wire（K-wire） fixation for treating supracondylar fractures of humerus in children.Methods 25 children with humeral supracondylar fracture admitted in our hospital were treated by closed reduction and percutaneous K-wire fixation and plaster slab fixation after operation.The results with statistically analyzed.All patients were followed up for 10 to 16 months（with an average of 13 months）,with the flexion-extension reflex and carrying angle examined.Results All the patients were found with bone union,of which 12 were excellent,10 were good,with a excellent-good rate of 88%.Conclusion The method has the superiorities of little trauma,stable fixation,and satisfactory functional recovery.
出处
《海南医学》
CAS
2011年第16期82-83,共2页
Hainan Medical Journal
关键词
肱骨髁上骨折
闭合复位
克氏针
Supracondylar fractures of humerus
Closed reduction
Kirschner wire
作者简介
陈拓（1972-），男，广西乎南县人，主治医师，本科，研究方向：创伤骨科。
