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目的研究比较两种不同手术入路治疗儿童肱骨髁上骨折预后效果。方法对错位类型骨折先后采用后正中入路和外侧入路两种手术方法 ,均采用交叉克氏针固定。结果 97例获得随访,骨折达到骨性愈合,肘关节功能恢复外侧入路组明显优于后侧入路组。前组优良率为47%,后组为84.8%。结论手术治疗儿童髁上骨折时选外侧入路方法能满足肘关节功能恢复的要求。
Objective To compare the prognosis of supracondylar fracture of humerus in two different surgical approaches. Methods Two methods of posterior median approach and lateral approach were adopted for the dislocation type fractures, all of which were fixed by crossed Kirschner wires. Results 97 cases were followed up, bone fracture healing, elbow function recovery lateral approach group was significantly better than the posterior approach group. The good rate was 47% in the former group and 84.8% in the latter group. Conclusion Surgical treatment of supracondylar fractures in children with lateral approach can meet the functional recovery of the elbow.