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克氏针交叉内固定治疗肱骨髁上骨折的疗效分析
引用本文:王云才,戴文达.克氏针交叉内固定治疗肱骨髁上骨折的疗效分析[J].中国临床医学,2012,19(3):268-269.
作者姓名:王云才  戴文达
作者单位:1. 云南省昭通市中医院外科,云南昭通,657000
2. 复旦大学附属中山医院骨科,上海,200032
摘    要:目的:分析采用克氏针交叉内固定治疗肱骨髁上骨折的疗效。方法:采用克氏针交叉内固定治疗42例肱骨髁上骨折患者。结果:对42例患者随访5~36个月,平均(12.16±5.31)个月。采用MaZur评分标准评定疗效,优28例,良11例,可2例,差1例;优良率为92.9%。结论:对肱骨髁上骨折采用克氏针交叉内固定治疗后,复位理想,固定牢固;患者经过早期功能锻炼,能获得优良疗效。

关 键 词:克氏针  交叉内固定  肱骨髁上骨折

Open Reduction and Crossed Kirschner-Wire Fixation of Supracondylar Humerus Fractures
WANG Yuncai , DAI Wenda.Open Reduction and Crossed Kirschner-Wire Fixation of Supracondylar Humerus Fractures[J].Chinese Journal Of Clinical Medicine,2012,19(3):268-269.
Authors:WANG Yuncai  DAI Wenda
Institution:1. Department of Surgery, Zhaotong Traditional Chinese Medicine Hospita, Zhao- tong 657000, China ; 2. Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Abstract:Objective: To investigate the efficacy of open reduction and crossed Kirschner-wire (K-wire) fixation in supracon- dylar humerus fractures. Methods:A total of 42 patients with supracondylar humerus fractures were treated by open reduction and crossed kwire fixation. Results: The 42 cases in this study were followed up from 5 to 36 months, the average follow-up time was 12.16 ± 5.31 months. Functional outcome was assessed with the use of mazur scoring system. The results were ex- cellent in 28 patients, good in 11, fair in 2, and poor in 1. Among the 42 patients, 92.9% were rated as excellent or good. Conclusions.. Treatment of supracondylar humerus fractures with crossed K wire fixation can achieve good results.
Keywords:Kirschner-wire  Crossed fixation  Supracondylar fracture of the humerus
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