CAJ | 학술논문

目的探讨以生物学固定及间接复位技术为基础,微创治疗儿童肱骨髁上不稳定骨折的临床疗效.方法对86例儿童肱骨髁上不稳定骨折采用闭合复位,部分加内侧小切口,然后经皮克氏针交叉固定辅加石膏托外固定进行治疗.结果术后随访时间为6个月至5年(平均2.5年),骨折全部愈合,平均愈合时间为1.2个月.参照Flum临床功能评定标准评定:优78例,良6例,可2例;优良率为98%.结论以微创为原则闭合复位,经皮交叉克氏针内固定治疗儿童肱骨髁上不稳定骨折,该方法符合生物学固定的观点,创伤小,并发症少,恢复快,疗效满意.
목적 탐토이생물학고정급간접복위기술위기출,미창치료인동굉골과상불은정골절적림상료효.방법 대86례인동굉골과상불은정골절채용폐합복위,부분가내측소절구,연후경피극씨침교차고정보가석고탁외고정진행치료.결과 술후수방시간위6개월지5년(평균2.5년),골절전부유합,평균유합시간위1.2개월.삼조Flum림상공능평정표준평정:우78례,량6례,가2례;우량솔위98%.결론 이미창위원칙폐합복위,경피교차극씨침내고정치료인동굉골과상불은정골절,해방법 부합생물학고정적관점,창상소,병발증소,회복쾌,료효만의.
Objective To explore the clinical trestment outcomes d minimally invasive surgery for children with unstable humerus epicondyle fractures using biological internal fixation arid indirect reduction. Methods This series involved 86 children with unstable humerus epicondyle fractures. They were treated with close reduction and percutaneous Kirschner wire cross fixation assisted with small incisions on the medial side. Immobilization was supplemented with a plaster cast. Results Postoperative follow up ranged from 6 months to 5 years (average 2.5 years). All fractures healed. The average time of fracture healing was 1.2 month. According to Flum clinical functional assessment standard, 78 cases had excellent results, 6 cases good and 2 cases fair. The gcod-excellent rate was 98%. Conclusion Minimally invasive surgery for children with unstable humerus epicondyle fractures including close reduction and percutaneous fixation by cross K-wires. It obeys biomechanical laws, causes minimal trauma and few complications, achieves rapid recovery and leads to satisfactory treatment outcome.