医学信息
醫學信息
의학신식
Medical Information
2015年
35期
206-206
,共1页
肱骨髁上骨折%交叉克氏针固定%进针角度
肱骨髁上骨摺%交扠剋氏針固定%進針角度
굉골과상골절%교차극씨침고정%진침각도
Supracondylar Fracture of the humerus%Cross Kirschner wire fixation%Needle direction
肱骨髁上骨折在儿童中发生率极高，克氏针交叉固定是最常选用的方法之一。如何使固定牢固便于早期功能锻炼、最大限度的减少骨骺损伤、又可避免神经血管损伤，交叉克氏针固定的角度及方向是治疗的关键所在。本文结合肱骨远端的解剖结构剖析克氏针的进针角度原理。
肱骨髁上骨摺在兒童中髮生率極高，剋氏針交扠固定是最常選用的方法之一。如何使固定牢固便于早期功能鍛煉、最大限度的減少骨骺損傷、又可避免神經血管損傷，交扠剋氏針固定的角度及方嚮是治療的關鍵所在。本文結閤肱骨遠耑的解剖結構剖析剋氏針的進針角度原理。
굉골과상골절재인동중발생솔겁고，극씨침교차고정시최상선용적방법지일。여하사고정뢰고편우조기공능단련、최대한도적감소골후손상、우가피면신경혈관손상，교차극씨침고정적각도급방향시치료적관건소재。본문결합굉골원단적해부결구부석극씨침적진침각도원리。
The supracondylar fracture of humerus is a common trauma in children. Treatment requires anatomic reduction, fixation, and the minimum requirements of epiphyseal injuries, and early functional exercise. Closed or open reduction and Kirschner wire fixation is an ideal choice. This paper describes the hospital 246 cases of supracondylar fracture of humerus, through good design Kirschner needle direction, a successful fixation. To avoid the repeated adjustment of Kirschner wire direction cause bone damage, can achieve the stable fixation, and avoid the aggravation of epiphyseal injury, while avoiding the occur ence of vascular and nerve injury. The principle to determine the Kirschner needle into the direction.
