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肱骨髁上骨折为儿童常见骨折,良好的复位及固定是预防肘内翻及恢复肘关节功能的保障。闭合复位经皮钢针内固定治疗肱骨髁上骨折,因其微创、疗效可靠等优点而逐步被临床医生广泛采用。自2009年11月～2011年7月对我院收治的47例儿童肱骨髁上骨折给予郭氏手法整复经皮钢针内固定,取得了良好的效果。现将治疗体会总结如下。临床资料1一般资料:本组病例共47例,男32例,女15例,年龄在3～17岁之间。骨折分型:伸直型32例,屈曲型15例。Gartland分型:均为Ⅲ型。致伤原因:跌伤43例,车祸4例。伤后至手术时间:2～11天,平均3.2天。2方法2.1整复方法:(1)伸直型骨折给予攀牵折顶手法。麻醉
Supracondylar humerus fractures of children with common fractures, a good reduction and fixation is to prevent cubitus varus and restore elbow function protection. Closed reduction and percutaneous needle fixation of supracondylar humerus fractures, because of its minimally invasive, reliable and other advantages and gradually be widely used by clinicians. From November 2009 to July 2011, 47 cases of supracondylar humerus fractures admitted to our hospital were treated with Guoshou’s method of percutaneous needle internal fixation, and achieved good results. The treatment is summarized as follows. Clinical data 1 General Information: A total of 47 patients in this group, 32 males and 15 females, aged 3 to 17 years old. Fracture type: straight type in 32 cases, flexion type in 15 cases. Gartland typing: all type Ⅲ. Cause of injury: fall injury in 43 cases, 4 cases of car accident. Injury to surgery time: 2 to 11 days, an average of 3.2 days. 2 Methods 2.1 Rehabilitation Methods: (1) Straight fracture to give climbing tip folding method. anesthesia