CAJ | 학술논문

目的：探讨“前内侧入路”手术治疗那些必须行切开复位的小儿肱骨髁上骨折的疗效和优点。方法：回顾性分析近6年24例小儿肱骨髁上骨折的手术病例，男16例，女8例，年龄6～11岁，平均8．5岁。术前常规化验、心电图、胸片、患肢肘关节正侧位片，全麻或臂丛麻醉，取肘关节前内侧L型切口，先探查修复肱动脉、正中神经，然后显露并复位肱骨髁上骨折，经皮交叉克氏针内固定，术后前臂中立位石膏外固定3周，拍片见骨痂后撤石膏、克氏针，肘关节功能锻炼。结果：24例患者切口均甲级愈合，骨折愈合良好，肘关节活动良好，21例肘关节屈伸达正常范围，1例较正常范围小10度，1例较正常范围小20度，1例轻度肘内翻。结论：对于手术治疗小儿肱骨髁上骨折，前内侧入路优于其它入路，值得推广。
목적：탐토“전내측입로”수술치료나사필수행절개복위적소인굉골과상골절적료효화우점。방법：회고성분석근6년24례소인굉골과상골절적수술병례，남16례，녀8례，년령6～11세，평균8．5세。술전상규화험、심전도、흉편、환지주관절정측위편，전마혹비총마취，취주관절전내측L형절구，선탐사수복굉동맥、정중신경，연후현로병복위굉골과상골절，경피교차극씨침내고정，술후전비중립위석고외고정3주，박편견골가후철석고、극씨침，주관절공능단련。결과：24례환자절구균갑급유합，골절유합량호，주관절활동량호，21례주관절굴신체정상범위，1례교정상범위소10도，1례교정상범위소20도，1례경도주내번。결론：대우수술치료소인굉골과상골절，전내측입로우우기타입로，치득추엄。
Ob jective:To explore the "anterior medial approach"operation therapeutic effect and advantages of those who must frac-tures underwent open reduction and pediatric supracondylar humerus .Methods :A retrospective analysis of patients with fracture operation nearly 6 years 24 cases of pediatric supracondylar humerus , male 16 cases, female 8 cases, age 6-11 years old, average 8.5 years old. Preoperative routine test , ECG, chest X-ray, limb elbow side position piece , general anesthesia or brachial plexus anesthesia , took el-bow anterior medial type L incision , the first exploration of brachial artery , repair median nerve , and then to emerge and reset supracondy-lar fracture of the humerus, percutaneous K-wire fixation, postoperative forearm neutrality bits of plaster external fixation for 3 weeks, X-ray showed callus retreat gypsum , Kirschner wire, elbow joint function exercise .Results:24 cases of patients with incision were healed , the healing of the fracture was good , good elbow joint activities , 21 cases of elbow flexion and extension of the normal range , 1 cases with normal range of 10 degrees, 1 patients with normal range of 20 degree, 1 cases of mild cubitus varus .Conclusion the operation treatment of supracondylar fracture of humerus in children , the anteromedial approach was superior to other approaches , might worthy of promotion .