儿童肱骨远端骨骺损伤的手术及康复治疗

Open-reduction And Rehabilitation of The Fractures of The Distal Humeral Epiphysis in Children

目的探讨儿童肱骨远端骨骺损伤的手术及术后康复治疗方法。方法回顾分析了1993～2000年手术治疗的儿童肱骨远端骨骺损伤81例,均切开复位、克氏针或加缝合内固定、石膏托外固定,术后3～6周拆除外固定并行功能锻炼。结果随访9个月～5年,平均2.1年,优54例,良17例,可6例,差4例。结论儿童肱骨远端骺损伤多为关节内骨折,对关节功能影响较大,要求解剖复位,术后早期功能锻炼对于关节康复十分重要。

Objective To explore the methods of open-reduction and rehabilitation,and improve the management of the fracture of the epiphysis in children.Method 81 children with fracture of the distal humeral epiphysis were treated and followed-up from 1993 to 2000 in our hospital.There were 11 cases with the fracture-separation of the entire distal humeral epiphysis,61 with the fractures of the lateral epiphysis of the humerus,6 with the fractures of the medial epiphysis of the humerus and 2 with the fractures of the medial epicondyle of the humerus.Open reduction and inner- fixation was carried out in all patients.Result All were be followed-up for 9 months to 5 years and average for 2.1 years.All of them, excellent results was got in 54 cases,good in 17 cases,fair in 6 cases and poor in 4 cases.Conclusion The fractures of the distal humeral epiphysis in children usually must be reduced anatomically. It is acceptable for open reduction.Early exercise is very important for of the bone and joint.