闭合复位交叉克氏针固定治疗儿童肱骨髁上骨折46例分析

目的:观察闭合复位交叉克氏针固定治疗儿童肱骨髁上骨折的临床效果.方法:对46例无血管、神经损伤的GartlandⅡ、Ⅲ型小儿肱骨髁上骨折采用闭合手法复位交叉克氏针固定,辅以石膏夹板固定2周,4周后拔除克氏针,行肘关节伸屈功能锻炼.结果:按Dodgt′s疗效评价标准,优33例,良11例,差2例,优良率95.7%.结论:儿童肱骨髁上骨折采用闭合复位交叉克氏针固定,创伤小,操作简单,疗效满意,是临床上可以推广的技术.

Efficacy of treatment of 46 children with supracondylar fracture of humerus with cross closed reduction Kirschner wire fixation

Objective:To observe the clinical effects of cross closed reduction Kirschner wire fixation on supracondylar fracture of humerus.Methods:Forty-six children with type Ⅱ and Ⅲ Gartland supracondylar fracture of humerus and,without blood vessel and nerve injuries injury were treated with cross closed reduction Kirschner wire fixation and fixed by plaster splint for two weeks.The plaster splint were pulled out and the function of elbow flex was exercised after 4 weeks.Results:Optimal in 33 cases,good in 11 cases and poor in 2 cases were observed according to the Dodgt′s standard,and the excellent rates were 95.7%.Conclusions:Treatment supracondylar fracture of humerus with cross closed reduction Kirschner wire fixation is little invasion,easy operation and good effects,which is worth of popularizing.