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目的探讨经肘后肱三头肌两侧入路急诊手术治疗重度移位型儿童肱骨髁上骨折的疗效。方法对35例重度移位型儿童肱骨髁上骨折采用经肘后肱三头肌两侧入路急诊切开复位克氏针交叉内固定术。结果随访8个月~4年,根据Flynn评定标准:优23例,良10例,可2例。结论经肘后肱三头肌两侧入路急诊手术治疗重度移位型儿童肱骨髁上骨折,具有创伤小、出血少,不破坏伸肘装置,可早期进行功能锻炼,值得推广应用。
Objective To investigate the effect of emergency treatment of supracondylar fractures of humerus in children with severe displacement after elbow triceps brachial approach. Methods 35 cases of severe displaced supracondylar fracture of the humerus were treated by emergency open reduction and Kirschner wire cross internal fixation with bilateral triceps brachial approach after elbow. Results The follow-up of 8 months to 4 years, according to the Flynn assessment criteria: excellent in 23 cases, good in 10 cases, fair in 2 cases. Conclusions The surgical treatment of supracondylar fractures of humerus in children with severe displacement through the trochanter on both sides of the elbow after emergency operation has the advantages of less trauma, less bleeding and no damage to the elbow extensor. It is worth to be popularized and applied.