经皮撬拨复位内固定治疗重度肱骨髁间骨折疗效观察

THE TREATMENT OF SEVERE INTERCONDYLAR FRACTURE OF THE HUMERUS BY PERCUTANEOUS PRYING REDUCTION AND PINNING INTERNAL FIXATION: A TherapeuticEffect Observation

采用经皮撬拨复位穿针内固定的方法治疗重度肱骨髁间骨折２４例，均经１２个月～３年的随访观察，效果满意。建议对此类损伤采用常规手法初步整复后，经皮将克氏针穿至旋转移位的骨折块上，利用钢针撬拨使之进一步复位并得以固定。观察认为，本法具有损伤小、感染率低、复位准确、固定可靠、功能恢复好等优点。

Twenty-four cases of severe intercondylar fracture of the humerus were treated by percutaneous prying reduction and pinning internal fixation with satisfactory results through a follow-up observation of 12-36 months. For this injury, the authors suggested: insert a Kirschner pin into the rotated and displaced fragment, reduce it by pin prying, and fixate it by pinning after the conventional manipulative reduction. Through observations, it was believed that this method have the following advantages: little injury, lower infective rate, accurate reduction, reliable fixation, good functional recovery, and so on.