闭合手法复位交叉克氏针固定治疗肱骨髁上骨折临床观察OA

Objective:To observe the clinical effects of closed reduction and crossed Kirschner wire fixation in chil-dren with supracondylar humeral fractures.Methods:All cases were 35 children with supracondylar humeral fractures who met the criteria from March 2019 to January 2023.Closed manual reduction and cross-K-wire fixation were used,and the postoperative elbow joints were fixed with plaster and the elbows were flexed 45 ° to 60 °.Immobilization for 3 weeks;the patients were followed up before treatment,3 weeks after treatment,and 3 months after treatment.The patients'elbow joint pain score,range of motion score,and Strength scores,clinical effects,and calculated scores were analyzed statistically to observe the therapeutic effect of elbow joint surgery.Results:The pain,elbow joint range of motion,elbow joint strength,and clinical effects were compared before surgery,3 weeks after surgery,and 3 months af-ter surgery.Elbow joint pain,range of motion,and strength were compared between 3 weeks after surgery,and 3 months after surgery.The clinical effect was significantly improved compared with that before surgery(P＜0.05).Pairwise com-parisons between groups showed that pain,elbow joint range of motion,elbow joint strength,and clinical effects were significantly improved 3 weeks after surgery compared with before surgery(P＜0.05).However,due to plaster-assisted elbow joint fixation and Kirschner wire penetration through the skin within 3 weeks after surgery,the patient's recov-ery satisfaction in terms of pain,elbow joint range of motion,elbow joint strength,and clinical effects was significantly lower than 3 months after surgery(P＜0.05).Conclusion:For children with supracondylar humerus fractures,elbow joint pain,range of motion,strength,and clinical effects are significantly improved after closed manipulation reduction and Kirschner wire fixation,and the results are satisfactory.