CAJ | 학술논문

采用悬吊式尺骨克氏针牵引方法减少和预防肘内翻,并评价该方法的优缺点.用悬吊式尺骨克氏针牵引治疗45例严重移位肱骨髁上骨折,随访30例,随访时间一年以上.根据骨牵引骨折复位情况和骨痂等级决定拔针时间.拔针前测量Baumann角.随访30例中,按照Dodgt's标准,优24例,良6例.无1例发生缺血性肌挛缩,无表面感染或因骨牵引产生神经症状.5例神经损伤均完全恢复.无明显肘内翻.该方法效果好、并发症少、易行且创伤小.可同时治疗骨折所致肿胀,随时在X线透视下再复位.但住院时间长是其不足.
채용현조식척골극씨침견인방법감소화예방주내번,병평개해방법적우결점.용현조식척골극씨침견인치료45례엄중이위굉골과상골절,수방30례,수방시간일년이상.근거골견인골절복위정황화골가등급결정발침시간.발침전측량Baumann각.수방30례중,안조Dodgt's표준,우24례,량6례.무1례발생결혈성기련축,무표면감염혹인골견인산생신경증상.5례신경손상균완전회복.무명현주내번.해방법효과호、병발증소、역행차창상소.가동시치료골절소치종창,수시재X선투시하재복위.단주원시간장시기불족.
Forty-five patients of humeral supracondylar fracture with severe displacement were treated by suspended olercran on traction.Kirschner pins were removed according to the condition of reduction and callus formation.Baumann's angle was measured in every case before remoral of the pins.Of them,30 cases were followed up for more than one year showing satisfactory results in 24,good in 6 without ischemia contracture,infection or nerve problems.None of them developed symptoms of cubitus varus.Conclusion:This method is easy and safe particularly good for local swelling of soft tissue.But long hospitalization remains an inevitable short-coming.