屈肘位绷带固定治疗儿童肱骨髁上伸直型骨折疗效观察

选择闭合性无血管、神经损伤的儿童肱骨髁上伸直型骨折８８例，单纯用绷带屈肘贴胸位固定治疗，取得了优良率９０％的结果。观察认为，肱骨髁上骨折固定后再移位和发生肘内翻等畸形的主要原因是骨折端的旋转活动，而造成旋转的主要因素是固定的松动及上肢的活动和前臂的重力等。应用本法固定能较好地解决断端间的旋转，因而可获得较理想的固定效果。

A therapeutic-effect observation on the treatment of children's supracondylar extension-type fracture of the humerus by bandage fixation in elbow flexion

Eighty-eight cases of closed children's supracondylar extension-type fracture of the humerus without bloodvessel and nerve injuries were treated alone by close-to-chest bandage fixation in elbow flexion with an excellent-good rate of 90%. Through the observations, it was considered that the main cause for the redisplacement and cubitus varus following the fixation of humeral supracondylar fracture was the rotation of the fragment,while the main cause for the rotation was the fixation loose, upper-limb motion and forearm weight and so on. This fixating method could effectively control the rotation between the fragments and thus produce a rational fixating effect.