| 旋肘屈肘复位纸夹板外固定治疗伸直型肱骨髁上骨折 |
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Received:November 21, 2007
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| 期刊信息：《中国骨伤》2008年21卷，第6期，第450-452页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨旋肘屈肘复位纸夹板外固定治疗伸直型肱骨髁上骨折方法的疗效。
方法：伸直型肱骨髁上骨折35例，男26例，女9例；年龄2.5～10岁，平均5.8岁；病程0.5～18 h.整复时术者1人操作，复位远折段须按标准配合患侧前臂之被动活动，最后使患侧手能触及患侧肩峰，屈肘90°以纸夹板体系固定。
结果：35例均获随访，时间6个月～2年，平均1年4个月，肘关节活动度均正常。 26例断端达到或接近解剖对位愈合，其中25例经1次整复，1例经2次整复。3例肘内翻5°以下，2例提携角为0°，均经2次整复。3例肘内翻8°～15°，1例肘内翻约20°，均经3次整复。治疗后按JOA肘关节功能评价法评定，100分25例，95～99分5例，90～94分3例，90分以下2例，平均(96.2±2.0)分。
结论：采用纸夹板体系固定牢固，稳定性强，可根据体表标志判断复位效果，增加了1次整复的成功率，且不会出现组织压疮及坏死。 |
| [关键词]:肱骨骨折 外固定器 小夹板固定 |
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| Reduction by revolving and bending elbow and fixation with paper splints for the treatment of supracondylar fracture of humerus |
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Abstract:
Objective: To evaluate curative effect of the treatment on the extension type supracondylar fracture of humerus by revolving,and bending elbow and fixing with paper splint.
Methods: Thirty-five children with supracondylar fracture of extension type included 26 boys and 9 girls with an average age of 5.8 years,ranging from 2.5 to 10 years. The tine from injury was 0.5 to 18 hours. The elbows were flexed in 90°，forearm was rotated,and fixed with paper splint.
Results: According to the elbow joint functional evaluation of JOA:25 patients had 100 scores,5 patients had 95 to 99 scores,3 patients had 90 to 94 scores,2 patients had the scores lower than 90.
Conclusion: The manual reduction and external fixation with paper splints is easily handled,and it can increase the success rate of restoration steadily and safely. |
| KEYWORDS:Humeral fractures External fixators Small splint fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王红杰.旋肘屈肘复位纸夹板外固定治疗伸直型肱骨髁上骨折[J].中国骨伤,2008,21(6):450~452 |
| 英文格式: | WANG Hong-jie.Reduction by revolving and bending elbow and fixation with paper splints for the treatment of supracondylar fracture of humerus[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(6):450~452 |
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