皮牵引方法治疗10岁以上儿童严重肱骨近端骨折疗效分析

Evaluation of the result of skin traction in children over 10 years old with proximal humeral fracture

目的：回顾分析上肢皮牵引方法治疗大年龄儿童肱骨近端骨折的疗效及适用范围。方法：作者单位应用皮牵引治疗14例10岁以上儿童肱骨近端骨折,皮牵引治疗后随访;结果：患儿年龄10~15岁,平均12.07岁,随访时间3~62个月,平均20个月,骨折临床愈合时间7周,Consant-Murley评分平均分为95分,最低分为83分;有两例发生短缩1cm和2.5cm,但这两例外观均不能觉察上肢不等长。14例中均未发现肱骨近端内翻成角畸形及肩关节活动障碍。结论：皮牵引方法可用来治疗大年龄组儿童严重肱骨近端骨折,优点是操作简单,无额外损伤,预后功能好和早期行肩关节功能锻炼。

Objective： To study the clinical effect of skin traction in the treatment of severely displaced humeral fracture in children over 10 years old.Methods： Among 107 children with proximal humeral fracture 14 patients,aged 10~15 were treated with skin traction in our hospital.The results of these patients were followed-up for 20 months.Results： The follow-up periods ranged from 3 to 62 months（average 20 months）,bone healed in 7 weeks.2 patients had radiographically measurable humeral shortening of 1cm and 2.5cm respectively.No patient was clinically aware of any discrepancy in length and there was no case of humeral overgrowth.The average score of Consant-Murley was 95,the lowest score was 83.Conclusion： Skin traction can be used in the treatment of proximal humeral fractures in patients older than 10 years.The advantages of skin traction are being easy to carry out without extra injury and exercising the shoulder joint early.