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3种手术入路治疗儿童肱骨髁上骨折疗效比较

王远辉 万永鲜 叶里子 罗雷茗

中国伤残医学2016,Vol.24Issue(7):2-4,3.
中国伤残医学2016,Vol.24Issue(7):2-4,3.DOI:10.13214/j.cnki.cjotadm.2016.07.002

3种手术入路治疗儿童肱骨髁上骨折疗效比较

Compare Curait ve Effect on Three Surgical Approaches Treating Supracondylar Fracture of Humerus in Children

王远辉 1万永鲜 1叶里子 1罗雷茗1

作者信息

  • 1. 泸州医学院附属医院骨与关节外科,四川泸州 646000
  • 折叠

摘要

Abstract

Objective:To compare the curative effects of three kinds of fracture operation approach for the treatment of humeral supra -condylar .Methods:From 2007 January to 2013 January , 246 cases of humeral supracondylar fractures were divided into three groups , re-spectively , the application of lateral approach , the medial approach and modified lateral approach for the treatment of .Through the opera-tion before, after the elbow range of motion and the incidence of cubitus varus efficacy was evaluated , and the results were statistically an-alyzed.Results:All cases were followed up , time 6 ~36 months, average 18 months.The results of treatment in the 3 groups were no significant difference (X2=1.8081, P >0.05).Conclusion: Lateral approach is simple, small trauma, high safety, the elbow joint function recovered quickly , but the reduction of the fracture is difficult , not to use with ulnar nerve injury;the medial approach of small trauma, recovery effect is good, the incision hidden, appearance, fracture reduction than the lateral approach is easy , reliable fixation, exploration center nerve , ulnar nerve;improved lateral approach operation simple , fracture reduction , fixation and visual and convenient operation, little trauma, joint function recovered well .3 kinds of operation approach curative effect quite , each has advantages and disad-vantages, according to the children of fracture operation skills and habits and doctors to be chosen .

关键词

肱骨髁上骨折/手术入路/儿童

Key words

Humeral supracondylar fracture/Cubitus varus/Children

分类

医药卫生

引用本文复制引用

王远辉,万永鲜,叶里子,罗雷茗..3种手术入路治疗儿童肱骨髁上骨折疗效比较[J].中国伤残医学,2016,24(7):2-4,3.

中国伤残医学

1673-6567

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