CAJ | 학술논문

目的评价闭合复位、经皮桡侧交叉克氏针固定治疗儿童Ⅲ型肱骨髁上骨折的临床效果.方法 2002年2月至2007年2月在"C"型臂透视下,采用闭合复位、经皮桡侧交叉克氏针固定治疗儿童Ⅲ型肱骨髁上骨折共53例.患儿年龄2～12.6岁(平均为6岁2个月).伸直型51例,屈曲型2例.在臂从或静脉麻醉下和"C"型臂透视下,先行闭合整复骨折,然后经皮桡侧交叉穿入2枚克氏针固定.结果本组49例获得随访,随访时间11～56个月(平均为21个月).患侧肘关节伸直平均为-8°;屈曲平均为135°随访时无一例发生Volkmann挛缩、肘内外翻畸形、神经损伤.结论在骨折复位满意后,采用经皮桡侧交叉克氏针固定,能避免损伤尺神经,避免骨折远端向尺侧的再移位,消除了肘内翻形成的因素;无切口,美观,创伤小;不需极度屈肘外固定,能防止前臂Volkmann挛缩的发生;住院时间短,肘关节功能恢复满意.
목적 평개폐합복위、경피뇨측교차극씨침고정치료인동Ⅲ형굉골과상골절적림상효과.방법 2002년2월지2007년2월재"C"형비투시하,채용폐합복위、경피뇨측교차극씨침고정치료인동Ⅲ형굉골과상골절공53례.환인년령2～12.6세(평균위6세2개월).신직형51례,굴곡형2례.재비종혹정맥마취하화"C"형비투시하,선행폐합정복골절,연후경피뇨측교차천입2매극씨침고정.결과 본조49례획득수방,수방시간11～56개월(평균위21개월).환측주관절신직평균위-8°;굴곡평균위135°수방시무일례발생Volkmann련축、주내외번기형、신경손상.결론 재골절복위만의후,채용경피뇨측교차극씨침고정,능피면손상척신경,피면골절원단향척측적재이위,소제료주내번형성적인소;무절구,미관,창상소;불수겁도굴주외고정,능방지전비Volkmann련축적발생;주원시간단,주관절공능회복만의.
Objective To review the results of fifty-three children treated for displaced supra-condylar fractures of the humerus.Methods All of the fractures were Gartland type 111 and were trea-ted with close reduction and percutaneous radial crossed-pin fixation under C arm guidance.The mean age of patients was 6.2 years old(range，2～12.6 years)at the time of the initial iniury.The average follow-up was 21 months(range 11～56 months).Results Forty-nine patients were examined for function and deformity.There was no cubitus varus，nerve injury or Volkmanrfs contracture at follow-up.Conclusions Closed reduction with percutaneous radial crossed pin fixation iS preferred treatment for the Gartland type Ⅲ supracondylar fractures of the humerus in children.