| 有限切开复位经皮克氏针内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折 |
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投稿时间：2016-08-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 李欣 |
LI Xin |
湖南省人民医院小儿骨科, 湖南 长沙 410005 |
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China |
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| 刘宏 |
LIU Hong |
湖南省人民医院小儿骨科, 湖南 长沙 410005 |
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China |
liuhong35@sina.com |
| 肖晟 |
XIAO Sheng |
湖南省人民医院小儿骨科, 湖南 长沙 410005 |
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China |
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| 方科 |
FANG Ke |
湖南省人民医院小儿骨科, 湖南 长沙 410005 |
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China |
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| 文捷 |
WEN Jie |
湖南省人民医院小儿骨科, 湖南 长沙 410005 |
Department of Pediatric Orthopedics, People's Hospital of Hunan, Changsha 410005, Hunan, China |
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| 期刊信息：《中国骨伤》2017年，第30卷，第1期，第60-63页 |
| DOI：10.3969/j.issn.1003-0034.2017.01.014 |
| 基金项目: |
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中文摘要:
目的：采用有限切开复位经皮克氏针固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折，观察临床效果。
方法：2007年5月至2014年10月对132例难复性Gartland Ⅲ型肱骨髁上骨折进行治疗，其中男82例，女50例；年龄2~14岁，平均5.8岁。根据骨折远端移位方向选择骨膜撕裂侧入路，在医师手指引导下行骨折闭合复位，复位满意后经皮交叉克氏针固定，石膏外固定，早期功能锻炼。
结果：132例病例均获随访，时间6~36个月，平均13.7个月。优95例，良27例，一般8例，差2例。
结论：有限切开复位内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折操作简单，不受肘部肿胀的影响，复位成功率高，术后肘部功能好。 |
| 【关键词】肱骨骨折 骨折固定术,内 儿童 |
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| Treatment of irreducible Gartland typeⅢ humerus supracondylar fracture in children with limited open reduction and percutaneous K-wire internal fixation |
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ABSTRACT
Objective: To investigate the clinical outcomes of limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type Ⅲ humerus supracondylar fracture in children.
Methods: From May 2006 to October 2014, 132 patients with irreducible Gartland type Ⅲ humerus supracondylar fracture were treated with reduction and percutaneous K-wire internal fixation.The reduction was performed with the guiding of surgeon's finger, and the lateral approach with periosteum torn was chosen according to the shift direction of the distal fractures.Among them, there were 82 males and 50 females with an average age of 5.8 years old (ranged from 2 to 14 years old).
Results: All the patients were followed up, the duration ranged from 6 to 36 months, with an average of 13.7 months.Ninety-five patients got an excellent result, 27 good, 8 fair, and 2 poor.
Conclusion: Limited open reduction and percutaneous K-wire internal fixation for the treatment of irreducible Gartland type Ⅲ humerus supracondylar fracture in children has many advantages:simple manipulate, not affected by the elbow swelling, and satisfactory curative effect.It is worth popularizing in clinic. |
| KEY WORDS Humeral fractures Fracture fixation,internal Child |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李欣,刘宏,肖晟,方科,文捷.有限切开复位经皮克氏针内固定治疗儿童难复性Gartland Ⅲ型肱骨髁上骨折[J].中国骨伤,2017,30(1):60~63 |
| 英文格式: | LI Xin,LIU Hong,XIAO Sheng,FANG Ke,WEN Jie.Treatment of irreducible Gartland typeⅢ humerus supracondylar fracture in children with limited open reduction and percutaneous K-wire internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(1):60~63 |
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