CAJ | 학술논문

目的探讨切开复位多针多维内固定治疗骨痂形成晚期儿童GartlandⅢ型肱骨髁上骨折的疗效. 方法选择2009年5月-2011年5月采用肘后正中皮肤切口、肱三头肌腱两侧入路切开复位、多枚克氏针固定、早期功能锻炼治疗37例GartlandⅢ型儿童骨痂形成晚期肱骨髁上骨折患者,男23例,女14例；年龄3～13岁,平均7岁.术后按照Flynn标准评定疗效,随访平均9.5个月. 结果优28例,良5例,可2例,差2例,无严重并发症发生. 结论采用切开复位多针多维内固定治疗骨痂形成晚期儿童GartlandⅢ型肱骨髁上骨折疗效满意,可供临床参考选择.
목적 탐토절개복위다침다유내고정치료골가형성만기인동GartlandⅢ형굉골과상골절적료효. 방법 선택2009년5월-2011년5월채용주후정중피부절구、굉삼두기건량측입로절개복위、다매극씨침고정、조기공능단련치료37례GartlandⅢ형인동골가형성만기굉골과상골절환자,남23례,녀14례；년령3～13세,평균7세.술후안조Flynn표준평정료효,수방평균9.5개월. 결과 우28례,량5례,가2례,차2례,무엄중병발증발생. 결론 채용절개복위다침다유내고정치료골가형성만기인동GartlandⅢ형굉골과상골절료효만의,가공림상삼고선택.
Objective To evaluate the effect of open reduction and multi-dimensional several pin fixation of Gartland type Ⅲ supracondylar fractures with late callus formation in children.Methods The study involved 37 children of Gartland type m supracondylar fractures with late callus formation undergone posteromedial elbow incision,open reduction via bilateral triceps sparing approach,several K-wire internal fixation and early functional rehabilitation from May 2009 to May 2011.There were 23 males and 14 females at 3-13 years of age (mean,7 years).Postoperative results were evaluated according to Flynn standard.Mean 9.5 months of follow-up was made.Results The results were excellent in 28 cases,good in five,fair in two and poor in two.No serious complications occurred after operation.Conclusion Open reduction and multi-dimensional several K-wire fixation is an effective treatment for Gartland type Ⅲ supracondylar fractures with late callus formation in children and hence provides a choice for clinical use.