改良截骨治疗肘内翻畸形

目的 总结改良楔形截骨交叉克氏针加“8”字钢丝内固定治疗青少年肘内翻的临床效果。方法 对28例青少年肘内翻者行改良肱骨髁上楔形截骨、交叉克氏针固定加“8”字钢丝固定术治疗。结果随访6个月～3年,肘关节活动均恢复正常,术后提携角均在0°～10°,无肘内翻复发。结论 对青少年肘内翻采用改良楔形截骨交叉克氏针加“8”字钢丝固定术有利于截骨角度的控制、增加截骨面的接触面积、提高截骨端固定的稳定性,有利于骨愈合及早期功能锻炼。

Surgical treatment of cubitus varus deformity with modified osteotomy

Objective To evaluate the therapeutic effect of the treatment of cubitus varus deformity by modified cuneiform osteotomy and fixation with cross Kirsthiner wire and wire Methods 28 patients with cubitus varus deformity were treated modified cuneiform osteotomy and fixed with cross Kirsthiner wire and wire. Results The patients were followed up for 6 months to 3 years. The function of elbow joint was recovered normally. No deformity reoccurred. Conclusion The modified cuneiform osteotomy and fixation with cross Kirsthiner wire and wire for treating the cubibus varus deformity is easy to control the osteotomy angle, increase the contact area at the osteotomied ends and increase the stability. It benefits the early fusion of bone and function recover.