经皮撬拨复位内固定治疗小儿肱骨髁上骨折疗效观察

Effecive observation of percutaneous reduction and Kirschner pin fixation for treatment of supracondylar fracture of humerus in children

目的:探讨经皮撬拨复位克氏针内固定治疗小儿肱骨髁上骨折的临床疗效。方法:回顾2001年6月至2007年11月,采用在C形臂X线机透视下,经皮撬拨复位、克氏针内固定治疗小儿肱骨髁上骨折26例,男16例,女10例;年龄3～10岁;左侧17例,右侧9例。骨折类型:伸直型24例,屈曲型2例,均为闭合性骨折。无合并神经、血管损伤。受伤至手术时间为0.5h～7d,15例均在受伤后即来急诊收入院,即刻手术。结果:26例患者随访3～9个月,骨折全部愈合。术后疗效采用综合评价系统进行评定,优16例,良8例,可2例。结论:在C形臂X线机透视下,经皮撬拨复位、克氏针内固定治疗小儿肱骨髁上骨折,具有安全、方便、损伤小、固定可靠、减少并发症、功能恢复好等优点。

Objective：To study on the clinic effect of percutaneous reduction and Kirschner＇s pins fixation for treatment of supracondylar fracture of humerus in children. Methods：From June 2001 to Nov. 2007,26 patients of supracondylar fracture of humerus in children were reviewed. All patients were treated by the fixation of percutaneous reduction and Kirschner＇s pins under the C-arm X-ray machine. These patients were included 16 males and 10 females with the age from 3 to 10 years. There were 17 cases on the left and 9 cases on the right. There were 24 cases of extension type and 2 cases of flexing type and all the cases were considered as closed fracture without any injury on nerve and vascular. These patients were all under operation from half an hour to 7 days after being injured ,and 15 of them were sent to the hospital and received operation immediately. Results： These 26 cases were followed-up for 3 to 9 months, all fractures of them were healing. According to the comprehensive evaluation, the result of 16 eases were excellent, 8 eases were good, and 2 cases were fine. Conclusion：From the research, the method of percutaneous reduction and Kirsehner＇s pins fixation for treatment of supracondylar fracture of humerus in children with the assistance from C-arm X-ray machine is safe, convenient, less injured, with reliable fixation, complication-minimizing, and easy for functional recover.