三维调整治疗儿童旋转移位肱骨髁上骨折

Three-dimensional traction for rotation displacement of supracondylar fracture

目的 介绍采用三维方向调整的非手术方法治疗儿童合并旋转移位肱骨髁上骨折的体会。方法 对合并有旋转移位的肱骨髁上骨折的患儿 2 1例 ,在尺骨牵引的基础上 ,采用悬吊位和外展水平位两种体位、超重牵引、三维方向调整各种移位。结果 本组病例都进行了 1年以上的门诊随诊。携物角同健侧比较均小于 15°,肘关节屈伸受限范围小于 2 0° ,优秀 18例 ,良好 3例。无肘内翻 ,无血管神经并发症。结论 采用三维方向调整的非手术方法治疗儿童合并有旋转移位肱骨髁上骨折 ,骨折复位效果好、并发症少、方法简单可靠 ,对患儿损伤小 ,是一种可行的非手术方法。

Objective To introduce a non operative treatment for rotation displacement after supracondylar fracture of the humerus.Methods Twenty one patients of humeral supracondylar fracture with rotation displacement were put on ulnar overweight traction combined with suspendsory and horizontal abduction position, so as to adjust the deformity from 3 dimensional traction.Results All of them were followed-up for more than six months. The carrying angle were decreased by 15° compared to the contralateral side. The range of movement decreased by 20°. Excellent results were obtained in 18 patients and satisfactory in 3. No infection or nerve and blood vessel damage was encountered. There was no cubitus varus.Conclusion The 3 D traction is a simple, effective and non operative method for humeral supracondylar fracture with rotation displacement.