论文部分内容阅读
目的:对肘后进路切开复位配合中医辨证治疗儿童GardlandⅢ型肱骨髁上骨折疗效进行分析。方法:本组共138例,均为GardlandⅢ型骨折,所有病例均经过急诊手法复位,因对位不理想或骨折不稳定而接受手术治疗。采用肘后切口,三头肌腱作舌形瓣切开后翻转暴露骨折断端,用交叉K氏针经肱骨内外髁上行内固定。同时术后水肿期内服具有行气活血功能的中药,骨折修复期予具有健脾益气、养血柔肝续筋的中药内服。结果:138例患者平均随访时间为14.8±6.9月。其中除23例伸屈出现>10°的功能障碍外,其余随访病例外观和肘伸屈功能正常。结论:GartlandⅢ型骨折行肘后切口充分暴露骨折断端,双K氏针交叉固定稳定,手术成功率高,可以降低临床肘内翻的发生率,同时根据病情辨证运用中药可促进瘀血肿胀消退,加快骨痂形成。
Objective: To analyze the curative effect of Gardland type Ⅲ supracondylar humerus fractures treated by open reduction and posterior approach to the elbow. Methods: A total of 138 cases of this group were Gardland type Ⅲ fractures. All cases were treated by emergency procedures. Surgical treatment was not needed due to suboptimal alignment or unstable fractures. After the elbow incision, the triceps tendon for tongue-shaped flap after the fracture open flip fracture exposed end, with cross K’s internal fixation of the medial and lateral epicondyle of the humerus. At the same time during the edema after the operation with qi and blood circulation of traditional Chinese medicine, fracture repair period to have spleen Qi, nourishing Rougan continued gluten oral administration. Results: The average follow-up time of 138 patients was 14.8 ± 6.9 months. In addition to 23 cases of flexion and extension appear more than 10 ° dysfunction, the rest of the cases and elbow extension flexion and extension of the normal function. Conclusion: Gartland type Ⅲ fractures after elbow incision fully expose the fracture ends, double K-wire cross fixed and stable, high success rate of surgery, can reduce the incidence of clinical cubitus varus, while the use of traditional Chinese medicine syndrome differentiation can promote blood stasis swelling subsided , Accelerate callus formation.