儿童严重型肱骨髁上骨折手术治疗疗效分析

Analysis of Results of operation on. Severe Supracondylar Fracture or Humerus in Children

１９８６年～１９９６年，我院对１８１例肱骨髁上骨折手法复位失败、开放性骨折、合并神经血管损伤及陈旧性骨折伴畸形影响肘关节功能等严重病例采用切开复位克氏针固定治疗。年龄为２～１３岁。随访１１６例。随访时间１～１０年，平均５年。结果：肘关节功能伸屈，优７２例，良２６例，可１５例。差３例，肘内蹈１８例，对其手术入路的选择和内外固定及影响疗效的几种因素进行讨论，结论：准确复位和确切内外固定、早期功能锻炼是提高疗效、防止肘内翻畸形发生的重要措施。

From 1986 to 1986, the technique of operation with Kisher's wire internal fixation was to treat 181 cases of Supracondylar fracture or humerus.Among them, there was coexistance of severe vascular and nervous injury, failure in closed reduction opened fracture and old fracture with deformity Aging from 2-13 years, 116 parients and flexion of the elbow were excellent in 72, good in 26, fair 18.the operation methods. intermal fixation and the factors in offecting therapentic result were emphatically discussed in this paper. The author suggests that supracandylar fracture of should be reduced amatomically and intermal fixation should be made as early as possible in order to avoid or