| 关节外侧小切口治疗肱骨髁上骨折 |
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Received:August 23, 2007
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| 期刊信息：《中国骨伤》2008年21卷，第2期，第113-114页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨肘关节外侧入路小切口克氏针钢丝内固定治疗肱骨髁上骨折的临床效果。
方法：肱骨髁上骨折58例，男42例，女16例；年龄3～65岁，平均9.4岁。均采用经肘关节外侧入路小切口4～5 cm,经肱三头肌外侧与肱桡肌间隙进入。手法复位后，2枚克氏针经皮穿入外髁部，在骨折近端内侧骨皮质穿出，在骨折近端距骨折线2～3 cm,外侧垂直钻孔后，穿钢丝交叉绕于肱骨外侧的克氏针尾，呈“8”字形外侧钢丝固定。
结果：术中骨折达到准确复位，固定可靠。58例经随访1～5年，平均2.4年，依据Flynn临床功能评定标准：优48例，良6例，可3例，差1例。
结论：肘关节外侧入路小切口克氏针钢丝内固定治疗肱骨髁上骨折创伤小、简便易行、手术时间短、固定可靠、可早期进行功能锻炼，术后肘关节功能恢复快。 |
| [关键词]:肱骨骨折 克氏针 骨折固定术，内 |
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| Treatment of humeral supracondylar fracture through small lateral incision |
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Abstract:
Objective: To explore the effect of treatment of humeral supracondylar fracture with Kirschner and tension band wire fixation through small lateral incision.
Methods: Fifty-eight patients of humeral supracondylar fractures included 42 males and 16 females with the average age of 9.4 years ranging from 3 to 65 years old. All patients were treated with Kirschner and tension band fixation through small lateral incision of 4 to 5 cm after reduction through lateral approach from the inter muscular space between the lateral of triceps brachii and the brachioradial muscle. Two Kirschner were insterted from the lateral condylars to humeral medial. Drill plumb on the humeral above fracture line distance 2 to 3 cm. A wire through bended on the lateral two Kirschners nails crossed in the shape of “8” figure.
Results: The fracture obtained accurately reduction and rigidly fixation. All patients were followed up for 1 to 5 years (mean 2.4 years). According to Flynn clinical evaluation,the results were excellent in 48 cases,good in 6,fair in 3 and poor in 1.
Conclusion: This method has advantages of minimal trauma,easy manipulation,less operative time,early exercises and rapid recovery for the treatment of humeral supracondylar fracture. |
| KEYWORDS:Humeral fractures Kirschner wire Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 高红兵,吴涛.关节外侧小切口治疗肱骨髁上骨折[J].中国骨伤,2008,21(2):113~114 |
| 英文格式: | GAO Hong-bing,WU Tao.Treatment of humeral supracondylar fracture through small lateral incision[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(2):113~114 |
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