CAJ | 학술논문

目的探讨有限切开复位交叉克什针内固定治疗儿童伸直型肱骨髁上骨折(GartlandⅢ型)的应用与疗效.方法采用有限切开复位交叉克氏针内固定治疗儿童伸直型肱骨髁上骨折65例,术后结合短期石膏托外固定.结果 65例患者随访时间6个月～1年,骨折均愈合.按Cassebatum方法评价肘关节功能,65例患儿中优49例,良13例,可3例；均末出现明显的肘内翻畸形及骨化性肌炎,优良率为95.4％.结论早期采用积极有限切开复位内固定治疗、术中轻柔解剖复位和术后早期正确的患肢功能锻炼可有效提高儿童肱骨髁上骨折的治疗效果及有效防治并发症.
목적 탐토유한절개복위교차극십침내고정치료인동신직형굉골과상골절(GartlandⅢ형)적응용여료효.방법 채용유한절개복위교차극씨침내고정치료인동신직형굉골과상골절65례,술후결합단기석고탁외고정.결과 65례환자수방시간6개월～1년,골절균유합.안Cassebatum방법평개주관절공능,65례환인중우49례,량13례,가3례；균말출현명현적주내번기형급골화성기염,우량솔위95.4％.결론 조기채용적겁유한절개복위내고정치료、술중경유해부복위화술후조기정학적환지공능단련가유효제고인동굉골과상골절적치료효과급유효방치병발증.
Objective To explore the application and efficacy of limited open reduction with internal fixation using cross Kersh pin for the treatment of Gartland's type Ⅲ supracondylar fracture of the humerus in children.Methods Limited open reduction with internal fixation was performed on 65 children with supracondylar fracture of the humerus.Short-term plaster external fixation was also applied postoperatively.Results All the fractures were healed in 65 children during a follow-up of 6 months to 1 year.According to the Cassebatum's rating system for assessing elbow function,the efficacy was excellent in 49 of 65 children,good in 13,and fair in 3,with a satisfaction rate of 95.4％.No apparent cubitus varus and myositis ossificans occurred.Conclusions Early aggressive limited open reduction with internal fixation,careful intraoperative anatomical reduction,and early postoperative functional exercise for the affected limb can effectively improve the efficacy and prevent the occurrence of complications.