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儿童陈旧性肱骨外髁骨折的手术治疗

王建胜 韩镜明

中国伤残医学2017,Vol.25Issue(11):31-33,3.
中国伤残医学2017,Vol.25Issue(11):31-33,3.DOI:10.13214/j.cnki.cjotadm.2017.11.015

儿童陈旧性肱骨外髁骨折的手术治疗

To Explore the Treatment and Curative effect of old Humerus Lateral CondyleFracture in Children

王建胜 1韩镜明1

作者信息

  • 1. 深圳市儿童医院骨科,广东 深圳 518000
  • 折叠

摘要

Abstract

Objective: To explore the treatment and curative effect of old humerus lateral condyle fracture in children.Methods: From June 2014 to June 2016, 12 cases of 3 to 12 week-old humerus lateral condyle fracture were operated by open reduction and cannulated screw fixation and plaster slab fixation after operation.7 cases of more than 12 week-old humerus lateral condyle fracture were operated by cuneiform osteotomy, open reduction and cannulated screw fixation and plaster slab fixation after operation.Remove the plaster slab on 2 weeks after surgery.Remove the Kirschner wire on 1 months after surgery.The cannulated screw can be removed on 3 months after operation according to recovery.Results: All the patients were followed up for 6-18 months.No complications such as osteofascial compartment syndrome and vascular injury were found.The valgus deformity and elbow functions of flexion and extension were improved.Results showed the efficiency of 14 cases were excellent, 3 cases good, 2 cases better and 0 cases poor, the excellent rate is 89.5%.Conclusion: In this study, the two operation methods have main advantages such as short operative time, little trauma and postoperative complications in children.They can also achieve a purpose of good reduction, fixation and postoperative early functional rehabilitation.All in all, They are effective to correct deformity, promote early recovery and improve the elbow function.

关键词

陈旧性肱骨外髁骨折/内固定/克氏针/空心钉/儿童

Key words

Old humerus lateral condyle fracture/Internal fixation/Kirschner wire/Cannulated screw/Children

分类

医药卫生

引用本文复制引用

王建胜,韩镜明..儿童陈旧性肱骨外髁骨折的手术治疗[J].中国伤残医学,2017,25(11):31-33,3.

中国伤残医学

1673-6567

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