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目的:探讨肘内小切口治疗儿童尺偏型肱骨髁上骨折的临床疗效。方法:选择尺偏型肱骨髁上骨折患儿72例,麻醉后,均采取肘内侧小切口切开复位克氏针内固定早期石膏托外固定治疗。结果:随访12～42个月切口全部一期愈合。评定术后肘关节功能,优良率达97.3%,且无一例出现肘内翻畸形。结论:采取肘内侧小切口切开复位克氏针内固定早期石膏托外固定治疗儿童尺偏型肱骨髁上骨折,具有切口隐蔽不影响外观、避免医源性尺神经损伤、防止术后并发肘内翻畸形、早期恢复肘关节功能四重优点。
Objective: To investigate the clinical effect of small incision in the treatment of partial ulna supracondylar humerus fractures in children. Methods: Seventy - two children with ulnar supracondylar humeral fractures were selected. After anesthesia, they were treated with small incision and reposition Kirschner wire fixation with plaster external fixation. Results: All patients were followed up for 12 to 42 months. Evaluation of postoperative elbow function, excellent rate of 97.3%, and no case of cubitus varus deformity. Conclusion: The small elbow incision and reposition Kirschner wire internal fixation early plaster external fixation of supracondylar fracture of supracondylar humeral fractures with incision does not affect the appearance of hidden, to avoid iatrogenic ulnar nerve injury, to prevent postoperative complications elbow Valgus deformity, early recovery of elbow function quadruple merit.