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獐肱骨外科颈骨折,大多数学者主张闭合复位,保守治疗,且方法很多[1],但在治疗上仍有一定的难度.对难复性骨折,开放复位仍是必不可少的方法.自1988年~1997年间,我院通过开放复位和克氏钉内固文治疗了26例患儿,获得了满意的效果.所有26例均随访1年以上,随访6年以上的12例,随访对年满18岁的14例,未发现肩关节功能障碍和骨骺发育异常.因此作者认为.儿童肱骨外科颈骨折复位有困难时,可尽早手术治疗,避免反复多次的复位,造成进一步的损伤.
Most of scholars advocate closed reduction, conservative treatment, and many methods [1], but there is still some difficulty in the treatment. For refractory fractures, open reduction is still an indispensable method. From 1988 to 1997, our hospital treated 26 children with open reduction and internal fixation with Kirschner wire, and achieved satisfactory results. All 26 cases were followed up for more than 1 year, followed up for more than 6 years in 12 cases. All the patients were followed up for 14 cases of 18 years old. No dysfunction of shoulder joint and epiphyseal dysplasia were found. Therefore, the author thinks. Children with surgical neck fracture reduction of humerus surgery, as early as possible surgical treatment, to avoid repeated reset several times, causing further damage.