双侧小切口交叉克氏针内固定治疗儿童肱骨髁上骨折

目的探讨双侧小切口交叉克氏针内固定治疗儿童肱骨髁上骨折的临床疗效。方法分析我院从2003年5月～2005年8月采用双侧小切口交叉克氏针内固定治疗36例儿童肱骨髁上骨折。结果本组术后无切口感染或神经血管损伤。全部骨性愈合，愈合时间3—6周，平均4周。按Flynn评分：优27例，良5例，一般3例，差1僻，优良率为88、9％。结论双侧小切口交叉克氏针内固定治疗儿童肱骨髁上骨折方法简单、切口小、不损伤伸肌装置、固定牢靠、不用外固定、可早期功能锻炼，能有效减少并发症的发生，是一种较好的方法。

Small incision of dual side and crossed pin fixation for treatment of supracondylar humerus fractures in children

Objective To study the clinical results of the crossed pin fixation for treatment of supracondylar humerus fractures in children.Methods The therapeutic results of 36 patients with supracondylar humerus fractures were analyzed from May 2003 to August 2005.Results All the patients were no infection nerves or blood vessels injury.All the patients were healed within 3-6 weeks,average of 4 weeks.There were 27 excellent,5 good,3 fair and 1 poor according to criteria of Flynn,the rate of excellent and good was 88.9%.Conclusion Crossed pin fixation for treatment of supracondylar humerus fractures in children is a good method,which has such merits as follow:simple,small incision,not injuring extensor of equipment,been fixated firmly,unnecessary to use outer fixation,to exercise function early,and to reduce complications in effect.