闭合复位经皮克氏针固定治疗小儿肱骨髁上骨折

Closed reduction and percutaneous Kirschner wire fixation to treat supracondylar fracture of humerus in children

目的探讨全麻下闭合复位经皮克氏针治疗小儿肱骨髁上骨折的方法及其效果。方法回顾性分析43例小儿闭合性完全移位的肱骨髁上骨折病例,在静脉全麻下,手法复位后经皮克氏针治疗,评价其临床疗效。结果经12-24个月随访,骨折全部愈合,未出现迟发性尺神经炎、骨化性肌炎、肘内翻畸形、肘关节僵硬等远期并发症,按Flynn评价,优38例,良3例,可2例。结论运用闭合复位经皮克氏针治疗小儿肱骨髁上骨折手术简单,并发症少,疗效较好。

Objective To study under general anesthesia closed reduction and percutaneous K-wire treatment of children with supracondylar fracture of the method and its effects.Methods Retrospective analysis of 43 cases of children with closed totally displaced supracondylar humerus fractures cases,in the vein under general anesthesia,manual reduction and percutaneous Kirschner wire after the treatment,evaluation of its clinical efficacy.Results 12 -24 months follow-up,all fractures healed,does not appear delayed ulnar neuritis,myositis ossificans,elbow varus deformity,long-term complications of elbow stiffness,according to Flynn evaluation,excellent in 38 cases,good in 3 cases,fair in 2 cases.Conclusion It closed reduction and percutaneous K-wire treatment of children with supracondylar fracture of a simple,less complications and better effect.