肱骨外髁骨折骨不连并肘内翻畸形的手术治疗

Management of nonunion and cubitus varus after lateral condylar fracture of humerus

目的探讨肱骨外髁骨折并肘内翻畸形的矫正及内固定方法。方法骨折复位髁上楔形截骨手术治疗。结果平均随访8个月,骨不连及肘内翻同时得到矫正,本组5例,优4例,良1例,优良率100%。结论该手术方法操作简单、确切有效,是一种较好的治疗方法。

Objective To investigate the treatment of nonunion and cubitus varus after lateral condylar fracture of humerus. Methods 5 cases of nonunion and cubitus varus after lateral condylar fracture of humerus were admitted to my department from January 2001 to June 2003. They were treated with reduction and supracondylar wedge osteotomy. Results They were followed up for 8 months on average. Their nonunion and cubitus varus were all corrected. According to Su Shang-qing’s evaluation system, 4 cases achieved excellent results and 1 good. Conclusion The operative management is simple and effective for nonunion and cubitus varus after lateral condylar fracture of humerus.