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目的探讨儿童肱骨髁上骨折治疗方法,提高疗效。方法将90例儿童肱骨髁上骨折患者随机分为两组,手术组55例和保守治疗组35例,保守治疗组采用手法复位夹板外固定,手术组采用切开复位克氏针交叉固定。结果通过临床对比分析,手术组55例中2例发生肘内翻畸形,保守组35例,有6例出现肘内翻畸形,手术治疗手术者比保守治疗肘内翻发生率低。结论肱骨髁上骨折患儿手术治疗比保守治疗肘内翻发生率低,保守治疗较手术治疗引起肘关节功能障碍率更小。
Objective To investigate the treatment of supracondylar humerus fractures in children to improve the curative effect. Methods Ninety children with supracondylar fractures of the humerus were randomly divided into two groups. 55 cases in the operation group and 35 cases in the conservative treatment group were treated by conservative reduction. The patients in the operation group were treated with open reduction and Kirschner wire fixation. Results By clinical comparative analysis, 2 cases of cubitus varus deformity occurred in 55 cases in the operation group, conservative group of 35 cases, 6 cases of cubitus varus deformity, surgery less conservative treatment of cubitus varus. Conclusion The surgical treatment of supracondylar humerus fractures is more frequent than the conservative treatment of cubitus varus. Conservative treatment results in less elbow dysfunction than surgery.