手法整复伸直桡偏旋转型肱骨髁上骨折50例疗效分析

Efficacy Analysis on 50 Cases of Humeral Supracondylar Fracture of Straighten Radial Deviation Rotary Type Treated by Twisted Taxis

目的：探讨内旋手法整复小夹板固定治疗儿童伸直桡偏旋转型肱骨髁上骨折的疗效。方法：50例伸直桡偏旋转型肱骨髁上骨折患儿随机分为治疗组27例和对照组23例，治疗组予内旋提按手法整复及小夹板固定；对照组按传统手法复位，6个月后评定疗效。结果：治疗组优19例，良4例，一般3例，差1例；对照组优9例，良6例，一般5例，差3例；治疗组明显优于对照组（P<0.05）。结论：内旋手法整复小夹板固定治疗治疗儿童伸直桡偏型肱骨髁上骨折效果良好。

Objective:To investigate the efficacy of internal rotation twisted taxis and small splint fixation for children''s humeral supracondylar frac-ture of straighten radial deviation rotary type. Methods: 50 cases of children were randomly divided into treatment group (27 cases) and control group (23 cases), the treatment group treated by internal rotation twisted taxis and small splint fixation, while the control group by traditional manual reduction, evaluated the efficacy after 6 months. Results:There were 19 cases of excellent, 4 cases of good, 3 cases of general and 1 case of bad in treatment group;9 cases of excellent, 6 cases of good, 5 cases of general and 3 case of bad in control group;the efficacy of treatment group was sig-nificantly better than that in control group (P<0.05). Conclusion:The treatment of internal rotation twisted taxis and small splint fixation has a good curative effect on children''s humeral supracondylar fracture of straighten radial deviation rotary type.