CAJ | 학술논문

目的：总结儿童肱骨外髁骨折的治疗效果。方法35例Jakob Ⅰ~Ⅲ度儿童肱骨外髁骨折患儿中,8例(Ⅰ度)采用石膏托外固定治疗,27例(Ⅰ度8例、Ⅱ度11例、Ⅲ度8例)采用切开复位克氏针内固定治疗。结果手术治疗的27例获11个月~5年随访,骨折均骨性愈合；根据Hardacre评分：优17例,良8例,差2例,优良率为25/27。非手术治疗的8例获11个月~2年随访,骨折均骨性愈合；根据Hardacre评分：优6例,良2例,优良率为8/8。结论儿童肱骨外髁骨折手术或非手术治疗均可获得较满意效果。如行非手术治疗,必须严密观察,一旦发现骨折移位应早期手术治疗。
목적：총결인동굉골외과골절적치료효과。방법35례Jakob Ⅰ~Ⅲ도인동굉골외과골절환인중,8례(Ⅰ도)채용석고탁외고정치료,27례(Ⅰ도8례、Ⅱ도11례、Ⅲ도8례)채용절개복위극씨침내고정치료。결과수술치료적27례획11개월~5년수방,골절균골성유합；근거Hardacre평분：우17례,량8례,차2례,우량솔위25/27。비수술치료적8례획11개월~2년수방,골절균골성유합；근거Hardacre평분：우6례,량2례,우량솔위8/8。결론인동굉골외과골절수술혹비수술치료균가획득교만의효과。여행비수술치료,필수엄밀관찰,일단발현골절이위응조기수술치료。
Objective To summarize the experience of clinical diagnosis and surgical treatment of humeral lateral condyle fracture in children. Methods 35 cases of humeral medial condyle fracture in children,8 cases of which were managed with plaster immobilization ( degree Ⅰ) ,27 cases of which were treated with open reduction and Kir-schner wire fixation ( including degreeⅠfor 8 cases,Ⅱfor 11 cases,Ⅲfor 8 cases) . Results 27 cases received operation treatment,and they were followed up from 11 months to 5 years. According to Hardacre score,the results were excellent in 17 cases,good in 8 and poor in 2. The excellent and good results was 25/27. 8 patients received conservative therapy,and they were followed up from 11 months to 2 years,the results were excellent in 6,good in 2. The excellent and good results was 8/8. Conclusions Humeral lateral condyle fracture in children are managed e-qually well with conservative therapy or treated with open reduction and Kirschner wire fixation. If conservative therap is adopted,the patients should be watched closely. When displacement is happened,the operation should be carried out.