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目的探讨双侧切口张力带内固定治疗儿童不稳定肱骨髁上骨折的疗效。方法对76例儿童不稳定肱骨髁上骨折,随机分为实验组(张力带内固定组)和对照组(克氏针固定组),并比较两组的疗效。结果实验组:优26例,良11例,可1例;对照组:优15例,良12例,可6例,差5例,实验组与对照组相比(χ2=9.896P<0.01),两组差异有统计学意义。结论双侧切口张力带内固定治疗儿童不稳定肱骨髁上骨折的效果明显优于单纯克氏针交叉内固定,具有操作简单、固定牢固、可早期活动,有效防止肘内翻畸形发生。
Objective To investigate the curative effect of bilateral incision tension band internal fixation for unstable supracondylar humerus fractures in children. Methods 76 cases of unstable supracondylar fracture of the humerus were randomly divided into experimental group (tension band fixation group) and control group (Kirschner wire fixation group). The curative effect of the two groups was compared. Results The experimental group was excellent in 26 cases, good in 11 cases and fair in 1 case. The control group was excellent in 15 cases, good in 12 cases, fair in 6 cases and poor in 5 cases. Compared with the control group (χ2 = 9.896 P <0.01) , The difference between the two groups was statistically significant. Conclusion The effect of bilateral incision tension band fixation on unstable supracondylar humerus fractures in children is better than that of simple Kirschner wire fixation. It has the advantages of simple operation, firm fixation, early activities and effective prevention of cubitus varus deformity.