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目的:探讨利用手法整复钳夹固定治疗儿童胫骨远端Salter-Harris Ⅱ型骨骺损伤的疗效。方法:充分牵引下手法整复,在骺板轻度分离状态下予以钳夹固定治疗儿童胫骨远端Salter-Harris Ⅱ型骨骺损伤50例。结果:去除钳夹固定时间平均6周,随访9~24个月,平均12个月。50例采用Maryland足部功能评分进行疗效评价:其中优41例,良6例,一般3例,优良率为94.0%.结论:在骺板轻度分离状态下行手法整复钳夹固定,创伤小,花费低,恢复快,疗效满意,有利于骨折愈合和骨骺发育。
Objective: To investigate the curative effect of salvage-harris Ⅱ epiphyseal injury treated by the method of reconstructing and clamping the distal tibia. Methods: The traumatic manipulation of the tibial distal salvage hardi epiphyseal injury was performed in 50 cases under the circumstance of full traction. Results: The removal of the clamps for an average of 6 weeks, followed up for 9 to 24 months, an average of 12 months. Fifty cases were evaluated by Maryland foot functional score: 41 cases were excellent, 6 cases were good, 3 cases were fair, and the excellent and good rate was 94.0% .Conclusion: In the mild separation of epiphyseal plate, , Low cost, fast recovery, satisfactory efficacy, is conducive to fracture healing and epiphyseal development.