儿童肱骨外髁骨折的治疗体会

目的总结儿童肱骨外髁骨折的治疗效果。方法 35例JakobⅠ~Ⅲ度儿童肱骨外髁骨折患儿中,8例(Ⅰ度)采用石膏托外固定治疗,27例(Ⅰ度8例、Ⅱ度11例、Ⅲ度8例)采用切开复位克氏针内固定治疗。结果手术治疗的27例获11个月~5年随访,骨折均骨性愈合;根据Hardacre评分:优17例,良8例,差2例,优良率为25/27。非手术治疗的8例获11个月~2年随访,骨折均骨性愈合;根据Hardacre评分:优6例,良2例,优良率为8/8。结论儿童肱骨外髁骨折手术或非手术治疗均可获得较满意效果。如行非手术治疗,必须严密观察,一旦发现骨折移位应早期手术治疗。

Experiences of surgical treatment of humeral lateral condyle fracture in children

Objective To summarize the experience of clinical diagnosis and surgical treatment of humeral lateral condyle fracture in children. Methods 35 cases of humeral medial condyle fracture in children,8 cases of which were managed with plaster immobilization （ degree Ⅰ） ,27 cases of which were treated with open reduction and Kir-schner wire fixation （ including degreeⅠfor 8 cases,Ⅱfor 11 cases,Ⅲfor 8 cases） . Results 27 cases received operation treatment,and they were followed up from 11 months to 5 years. According to Hardacre score,the results were excellent in 17 cases,good in 8 and poor in 2. The excellent and good results was 25/27. 8 patients received conservative therapy,and they were followed up from 11 months to 2 years,the results were excellent in 6,good in 2. The excellent and good results was 8/8. Conclusions Humeral lateral condyle fracture in children are managed e-qually well with conservative therapy or treated with open reduction and Kirschner wire fixation. If conservative therap is adopted,the patients should be watched closely. When displacement is happened,the operation should be carried out.