中华手外科杂志
中華手外科雜誌
중화수외과잡지
CHINESE JOURNAL OF HAND SURGERY
2009年
4期
208-210
,共3页
沈建业%谭志胜%郑彩平%李有生%梁炳生
瀋建業%譚誌勝%鄭綵平%李有生%樑炳生
침건업%담지성%정채평%리유생%량병생
肱骨骨折%儿童%外科手术%微创性
肱骨骨摺%兒童%外科手術%微創性
굉골골절%인동%외과수술%미창성
Humeral fractures%Child%Surgical procedures,minimally invasive
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.
目的 探討以生物學固定及間接複位技術為基礎,微創治療兒童肱骨髁上不穩定骨摺的臨床療效.方法 對86例兒童肱骨髁上不穩定骨摺採用閉閤複位,部分加內側小切口,然後經皮剋氏針交扠固定輔加石膏託外固定進行治療.結果 術後隨訪時間為6箇月至5年(平均2.5年),骨摺全部愈閤,平均愈閤時間為1.2箇月.參照Flum臨床功能評定標準評定:優78例,良6例,可2例;優良率為98%.結論 以微創為原則閉閤複位,經皮交扠剋氏針內固定治療兒童肱骨髁上不穩定骨摺,該方法 符閤生物學固定的觀點,創傷小,併髮癥少,恢複快,療效滿意.
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.