| 改良穿针并外张力带固定治疗GartlandⅢ型儿童肱骨髁上骨折 |
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Received:February 20, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张川 |
ZHANG Chuan |
洛阳正骨医院上肢损伤科, 河南 洛阳 471002 |
Department of Arm Injury, Luoyang Orthopaedic Traumatology Hospital, Luoyang 471002, Henan, China |
zc205397@126.com |
| 张作君 |
ZHANG Zuo-jun |
洛阳正骨医院上肢损伤科, 河南 洛阳 471002 |
Department of Arm Injury, Luoyang Orthopaedic Traumatology Hospital, Luoyang 471002, Henan, China |
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| 赵明 |
ZHAO Ming |
洛阳正骨医院上肢损伤科, 河南 洛阳 471002 |
Department of Arm Injury, Luoyang Orthopaedic Traumatology Hospital, Luoyang 471002, Henan, China |
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| 昌中孝 |
CHANG Zhong-xiao |
洛阳正骨医院上肢损伤科, 河南 洛阳 471002 |
Department of Arm Injury, Luoyang Orthopaedic Traumatology Hospital, Luoyang 471002, Henan, China |
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| 期刊信息：《中国骨伤》2012年25卷，第8期，第690-693页 |
| DOI：10.3969/j.issn.1003-0034.2012.08.020 |
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目的:探讨改良穿针并外张力带固定治疗GartlandⅢ型儿童肱骨髁上骨折的临床疗效。
方法:自2009年2月至2010年11月采用肘外侧切口、改良穿针(内外髁交叉并外髁辅助穿针)并外侧外张力带固定(交叉针尾相互钩绕)法治疗GartlandⅢ型儿童肱骨髁上骨折79例,其中男47例,女32例;年龄2.5～14岁,平均8.7岁。受伤至手术时间2 h～8 d.记录手术前后肘关节活动度及提携角,按照Flynn评定标准评定疗效。
结果:61 例获得随访(18例失访),时间6～30个月,平均13.5个月。根据Flynn评定标准:优53例,良7例,可1例。
结论:采用外侧小切口复位后行改良穿针并外侧外张力带固定治疗儿童肱骨髁上骨折具有固定牢固、恢复快、并发症少的特点,是治疗儿童肱骨髁上骨折较理想的方法之一。 |
| [关键词]:肱骨骨折 骨折固定术,内 儿童 |
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| Modified pinning combined with external tension band for the treatment of Gartland type Ⅲ humeral supracondylar fractures in children |
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Abstract:
Objective:To explore therapeutic effects of Modified pinning combined with external tension band for the treatment of Gartland type Ⅲ humeral supracondylar fractures in children.
Methods:From February 2009 to November 2010,79 children with Gartland type Ⅲ humeral supracondylar fractures were treated by modified pinning (pinning cross internal and external condyle assisted with lateral condyle) combined with external tension band( crossing needle end and hooking around) through lateral approach of elbow. There were 47 males and 32 females,with an average age of 8.7 years (ranging from 2.5 to 14 years). The time from injury to operation was 2 h to 8 d. The elbow joint function and Carrying angle were observed before and after treatment. The Flynn criteria were used to evaluate therapeutic effects.
Results:Sixty-one patients were followed up (18 patients' data were lost) for 6-30 months(mean 13.5 months). According to Flynn criteria,53 patients got excellent result,7 good and 1 fair.
Conclusion:Treatment of child Gartland type Ⅲ humeral supracondylar fractures with modified pinning combined with external tension band through lateral approach of elbow is believed to be an ideal method,which has advantages of reliable fixation,rapid recovery and less complications. |
| KEYWORDS: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: | 张川,张作君,赵明,昌中孝.改良穿针并外张力带固定治疗GartlandⅢ型儿童肱骨髁上骨折[J].中国骨伤,2012,25(8):690~693 |
| 英文格式: | ZHANG Chuan,ZHANG Zuo-jun,ZHAO Ming,CHANG Zhong-xiao.Modified pinning combined with external tension band for the treatment of Gartland type Ⅲ humeral supracondylar fractures in children[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(8):690~693 |
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