[1]吴雪晖,何清义,唐康来,等.儿童难复性肱骨髁上骨折的外科治疗[J].第三军医大学学报,2008,30(09):861-863.
 WU Xue-hui,HE Qing-yi,TANG Kang-lai,et al.Minimally invasive medial and lateral approach for irreducible supracondylar fracture of the humerus in children[J].J Third Mil Med Univ,2008,30(09):861-863.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第09期
页码:
861-863
栏目:
论著
出版日期:
2008-05-15

文章信息/Info

Title:
Minimally invasive medial and lateral approach for irreducible supracondylar fracture of the humerus in children
作者:
吴雪晖何清义唐康来王序全马树枝张劲松
第三军医大学西南医院骨科,全军矫形外科中心
Author(s):
WU Xue-hui HE Qing-yi TANG Kang-lai WANG Xu-quan MA Shu-zhi ZHANG Jing-song
Department of Orthopedics, Southwest Hospital, Third Military Medical University
关键词:
儿童肱骨髁上骨折微创术
Keywords:
children supracondylar fracture of the humerus minimally invasive operation
分类号:
R615; R726.834.1; R726.873
文献标志码:
A
摘要:
目的  探讨肘关节内外侧联合小切口微创治疗儿童难复性肱骨髁上骨折的临床疗效。  方法  从2001-2007年,本科对51例难复性儿童肱骨髁上骨折采用内外侧联合手术入路,透视下复位,交叉克氏针固定,观察术后伤肢肿胀情况、早期功能锻炼时间、骨折愈合时间及肘关节功能恢复情况。  结果  伤肢肿胀程度轻,术后2~4 d完全消退,术后2~3周即可取石膏进行早期功能锻炼。随访3个月至5年,全部骨折均愈合,按Flynn标准对术后肘关节功能恢复情况进行评价,其中优43例,良6例,差2例,发生肘内翻3例。  结论  肘关节内外侧联合小切口治疗儿童难复性肱骨髁上骨折具有微创、肘关节功能恢复良好及肘内翻发生率低等特点。
Abstract:
Objective  To explore the clinical efficacy of elbow joint medial and lateral approach in miniincision to treat irreducible supracondylar fracture of the humerus in children.   Methods  From 2001 to 2007, 51 cases of children patients with irreducible supracondylar fracture of the humerus underwent miniincision exposure by elbow joint medial and lateral approach, reduction under C-arm  fluoroscopy  and  cross K wire fixation. The tumidity of injured limb, time for early  functional exercise and bone healing as well as the function recovery of elbow joint were observed postoperatively.    Results  The tumidity of injured limb was slight and resolved 2-4 d after operation. The plaster was removed in 2-3 weeks later and early functional exercises could be carried out. During the follow-ups of 3 months to 5 years, all bone fractures were recovered, including 43 cases having excellent recovery, 6 good recovery, and 2 bad recovery based on the evaluation of postoperative elbow joint function according to Flynn standards, but there were 3 cases of cubitus varus.   Conclusion  Minimally invasive elbow joint medial and lateral approach is a good method to treat irreducible supracondylar fracture of the humerus of children with elbow functional recovery and low rate of cubitus varus.

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更新日期/Last Update: 2008-05-08