外展支具结合手法复位治疗儿童肱骨外科颈骨折

目的通过对56例儿童肱骨外科颈骨折的治疗进行回顾分析,探讨运用外展支具治疗儿童肱骨外科颈骨折的意义。方法本组56例。男41例,女15例;车祸伤9例,跌伤47例,平均年龄7.67岁。均采用外展支具结合手法复位治疗,术后固定1个月,拆除支具,开始功能锻炼。结果本组随访56例,随访时间6个月～5年,平均2.96年。根据骨折愈合标准评定：35例评价为优,21例评价为良,优良率100%。结论外展支具结合手法复位治疗儿童肱骨外科颈骨折,是一种简便、有效、可靠治疗的方法。

Treatment of Chidren''''s Fracture of Surgical Humerus Neck with Abduction Brace Combined with Mani-pulative Reduction

Objective Retrospective analysis of 56 cases of the surgical humerus neck of children that treated with abduction brace combined with manipulative reduction, and discuss the significance of abduction brace combined with manipulative reduction in treatment of fracture of the surgical humerus neck about children. Methods This study consisted of 56 children with fracture of the surgical humerus neck, among these , 41 were males and 15 were females,9 were road accident and 47 were falling injury, average 7.67 years. They were all treated with abduction brace combined with manipulative reduction , after 1 month fixation , dismantled the abduction brace and did the functional exercise. Results Follow - up study was carried out in 56 cases, followed 6 months to 5 years , average 2.96 years , accoding to the standard of fracture healing, excellent result was obtained in 35 cases and good in 21 cases,the excellent - good rate was 100%. Conclusions Abduction brace combined with manipulative reduction is an effective treatment for fracture of the surgical humerus neck in children.