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目的:应用改良闭合法穿针治疗儿童肱骨髁上骨折,对经治648例进行随访分析。方法:介绍了具体的手术方法、技巧及术后功能锻炼的方法,对早晚期并发症的防治提出了处理方法。结果:对具备完整临床资料648例随访结果:优476,良107例,一般56例,差9例。优良率89.99%。结论:改良穿针具有微创,出血少,操作简便,固定可靠,取出简便,有利于早期功能锻炼等优点,是较为理想的治疗方法。
Objective: To apply the modified closed method to treat supracondylar fractures of humerus in children, 648 cases were followed up. Methods: Introduced the specific surgical methods, techniques and postoperative functional exercise methods, the treatment of early and late complications proposed treatment. Results: The follow-up results of 648 patients with complete clinical data were excellent 476, good 107, fair 56, and poor 9. Excellent rate of 89.99%. Conclusion: The improved needle has the advantages of minimally invasive, less bleeding, easy operation, reliable fixation, easy removal and early functional exercise, which is an ideal treatment.