76例肱骨髁上骨折手法复位与手术复位疗效分析

The comprehensive analysis about 76 cases of humerus supracondylar fracture

为比较肱骨髁上骨折手法复位与手术治疗效果 ,选取 76个病例进行分析 ,其中 6 4例采取手法复位加小夹板固定术 ,12例行开放性手术复位加内固定术 .6 4例手法复位者 ,5 8例骨愈合 ,伸屈功能恢复正常 ;1例并发Volkmann’s缺血性肌挛缩 ;5例并发肘内翻 .12例手术治疗者 ,肘关节伸屈功能有不同程度障碍 .与手术治疗相比 ,手法复位缩短了疗程 。

In order to compare the treating effect of humerus supracondylar fracture, selected 76 child cases which includes 64 cases on maneuver reduction, splint peripheral immobilization and 12 cases on open reduction. Among the 64 cases, one of them has developed Volkmann's, five of them have developed elbow inside turnover, twelve of them still have some problems of the extension and flexion with their elbows, but 58 of them have recovered quite well and the result is very satisfactory. Comparing with operation, maneuver reduction could shorten the treating period and simplify the treating method with the better result.