CAJ | 학술논문

目的探讨应用布巾钳尺骨鹰嘴骨牵引治疗难复性小儿肱骨髁上骨折的临床效果及并发症.方法对98例手法整复失败的儿童肱骨髁上骨折患儿,采用布巾钳尺骨鹰嘴骨牵引的方法治疗,并进行5～24个月随访观察.结果按Flynn肘关节功能评价标准进行评定,本组疗效:优71例(74.7％),良17例(17.9％),可7例(7.3％),优良率92.6％.结论布巾钳尺骨鹰嘴骨牵引治疗难复性小儿肱骨髁上骨折,操作方便,固定可靠,疗效确切,对患儿损伤小,对于小儿肱骨髁上骨折不失为一种简单、实用的方法.
목적 탐토응용포건겸척골응취골견인치료난복성소인굉골과상골절적림상효과급병발증.방법 대98례수법정복실패적인동굉골과상골절환인,채용포건겸척골응취골견인적방법치료,병진행5～24개월수방관찰.결과 안Flynn주관절공능평개표준진행평정,본조료효:우71례(74.7％),량17례(17.9％),가7례(7.3％),우량솔92.6％.결론 포건겸척골응취골견인치료난복성소인굉골과상골절,조작방편,고정가고,료효학절,대환인손상소,대우소인굉골과상골절불실위일충간단、실용적방법.
Objective To explore the clinical results and complications of the traditional skeletal traction through olecranon on treating the irreducible humeral supracondylar fracture in children with of ulna.Methods Ninety-eight children patients of humeral supracondylar fracture with failure of reduction manipulation were selected as our subjects.The towel clamp-skeletal traction through olecranon of ulna was applied as the additional treatment methods.Meanwhile 5-24 months' follow-up were performed.Results According to Flynn elbow joint function evaluation standard.The curative effect was as followed.71 patients (74.7％) got the excellent outcome,17 patients (17.9％) for good outcome and 7 patients for improved utcome(7.3％).Therefore,the ratio of excellent operation reached to 92.6％.Conclusion The towel clampskeletal traction through olecranon of ulna might be an effective method to treat reliable fixation regarding of its high curing rate and simple process of performance.