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