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目的:分析手法复位内外侧交叉克氏针固定治疗对小儿肱骨髁上骨折的临床效果。方法:选取我院2009年5月到2013年4月的50例小儿肱骨髁骨折患者,在C型臂以及X射线的监管下,运用手法复位内外侧交叉固定克氏针的方式治疗。结果:在这些患者手术后进行术后回访,时间为6-24个月,平均为13.4个月,所有患者均在术后3-6周达到痊愈的效果,没有出现术后再骨折和肘内、外翻畸形等并发症。术后随访的恢复效果中优秀为35例(75%),良好为10例(20%),尚可为3例(6%),优良率达到了94%。结论:手法复位内外侧交叉克氏针固定治疗对小儿肱骨髁上骨折十分有效,应在小儿肱骨髁上骨折治疗上得到推广。
Objective: To analyze the clinical effect of manual reduction and internal fixation of Kirschner wire fixation on supracondylar humerus fractures in children. Methods: Fifty children with humeral condylar fractures in our hospital from May 2009 to April 2013 were treated with cross-fixation of Kirschner wire inside and outside under the supervision of C-arm and X-ray. Results: The postoperative follow-up of these patients after surgery was 6-24 months with an average of 13.4 months. All patients achieved the effect of recovery at 3-6 weeks after operation. There were no postoperative fractures and elbow flexion , Valgus deformity and other complications. Out of 35 patients (75%) who were followed up successfully, 10 (20%) were good and 3 (6%) were good, with an excellent and good rate of 94%. Conclusion: Manipulative reduction of internal and external cross Kirschner wire fixation is very effective in pediatric supracondylar humerus fractures, which should be promoted in pediatric supracondylar humerus fractures.