CAJ | 학술논문

目的探讨鹰嘴牵引加小夹板固定治疗儿童肱骨髁上GartlandⅢ型骨折的临床疗效.方法 83例儿童肱骨髁上GartlandⅢ型骨折者均行尺骨鹰嘴牵引治疗5～7d后,在麻醉下手法复位加小夹板外固定3～4周,并分期功能锻炼.结果 83例均获随访,时间6～48个月,参照Flynn标准:优62例,良16例,可4例,差1例,优良率为93.9％.无严重肘内翻畸形发生.9例合并神经损伤,伤后2～3个月恢复正常.结论该方法操作简便,安全可靠,疗效确切,并发症少.
목적 탐토응취견인가소협판고정치료인동굉골과상GartlandⅢ형골절적림상료효.방법 83례인동굉골과상GartlandⅢ형골절자균행척골응취견인치료5～7d후,재마취하수법복위가소협판외고정3～4주,병분기공능단련.결과 83례균획수방,시간6～48개월,삼조Flynn표준:우62례,량16례,가4례,차1례,우량솔위93.9％.무엄중주내번기형발생.9례합병신경손상,상후2～3개월회복정상.결론 해방법조작간편,안전가고,료효학절,병발증소.
Objective To investigate the clinical effect of treatment of Gartland Ⅲ supracondylar fracture of the humerus in children using traction of olecranon combined with small splints fixation.Methods Eighty-three cases of Gartland Ⅲ supracondylar humeral fracture were treated by traction of olecranon for 5-7 days.Then they were given anaesthesia and treated by manipulative reduction combined with small splints fixation for 3-4 weeks.All cases were permitted function exercise by stages.Results All cases were followed up for 6-48 months.According to the standard of Flynn,62 cases obtained excellent results,16 good,4 fair and 1 poor.The rate of excellent or good was 93.9％.No serious cubitus varus was found.Nine cases who had partial nerve injury and got back to normal in 2-3 months after injury were recorded.Conclusions This operation is simple and safe,the fixation is firm,effective and with few complications.