CAJ | 학술논문

目的：探讨儿童Ⅲ型肱骨髁上骨折用闭合复位、交叉克氏针手术治疗不能取得满意效果时，采用桡侧单臂外固定支架治疗的临床疗效。方法对我们收治的13例应用单臂外固定支架治疗的儿童肱骨髁上骨折的临床资料进行回顾性分析。结果13例患者中，随访时间最短术后6个月，最长42个月，平均25个月。肘关节功能评价（参照Flynn功能评定标准）：优：11例；良：2例；可：0例，差：0例。结论当儿童Ⅲ型肱骨髁上骨折经传统闭合复位克氏针固定术治疗不能获得满意效果时，使用单臂外固定支架治疗，是一种安全、有效的替代治疗方法。
목적：탐토인동Ⅲ형굉골과상골절용폐합복위、교차극씨침수술치료불능취득만의효과시，채용뇨측단비외고정지가치료적림상료효。방법대아문수치적13례응용단비외고정지가치료적인동굉골과상골절적림상자료진행회고성분석。결과13례환자중，수방시간최단술후6개월，최장42개월，평균25개월。주관절공능평개（삼조Flynn공능평정표준）：우：11례；량：2례；가：0례，차：0례。결론당인동Ⅲ형굉골과상골절경전통폐합복위극씨침고정술치료불능획득만의효과시，사용단비외고정지가치료，시일충안전、유효적체대치료방법。
Objetive To review the results of manipulative reduction and external fixator in the treat-ment of Supracondylar humeral fractures in children. Methods Retrospective analysis of application of unilat-eral external fixator in 1 3 cases of supracondylar humeral fractures in Beijing Children's hospital. Results Fol-low up 1 3 patients,follow ups lasted from 6 to 42 months,an average of 24 months.According to Flynn clinical evaluation standard,excellent:1 1 cases;good:2 cases;fair:0 cases;poor:0 cases. Conclusion When the closed reduction appears to be unattainable by means of manipulation alone or when sufficient stability is not a-chieved with standard methods of Kirschner wire fixation,the use of a lateral external fixator seems to be a safe alternative for the treatment of displaced supracondylar fractures of the humerus.