儿童肱骨外科颈骨折手术治疗的临床观察

Clinical Observation of Operative Treatment of Fracture of Surgical Neck of the Humerus in Children

獐肱骨外科颈骨折，大多数学者主张闭合复位，保守治疗，且方法很多[1]，但在治疗上仍有一定的难度．对难复性骨折，开放复位仍是必不可少的方法．自1988年～1997年间，我院通过开放复位和克氏钉内固文治疗了26例患儿，获得了满意的效果．所有26例均随访1年以上，随访6年以上的12例，随访对年满18岁的14例，未发现肩关节功能障碍和骨骺发育异常．因此作者认为．儿童肱骨外科颈骨折复位有困难时，可尽早手术治疗，避免反复多次的复位，造成进一步的损伤．

Ii is bolieved that fracture of surgicla neck of the humerus in children shoulel be closed reduction and conservative treatment by most scholars, and there are several Kinds of methods, but there is still some difficulty in treatmeat. For irreducible fracture, open reduction is the main treatment method. From 1988 to 1997 26 children with irreducible fracture of surgical neck of the humerus were treated by open reduction and Kirschner's wire in the internal fixation and satisfactory results were obtained. Dysfunction of the shoulder and dysplasia of the epiphysis were not found in 26 cases follow up was over 1 year, in 12 cases over 6 years, in 14 till 18 years old. Therefore we suggest that if the reduction of fracture of surgical neck of the humerus in chilidren is difficult operative treatment sholuld be adopted as early as possible. The further lesion caused by reduction again and gaain is avoided.