肘前外侧入路逆向反拉克氏针固定治疗儿童肱骨小头骨折

Clinical effect analysis of the kirschner wires reverse fixation for repairing capitellum fracture through anterolateral elbow approach

对肘前外侧入路逆向反拉克氏针固定治疗儿童肱骨小头骨折的疗效进行分析。回顾性分析38例有移位的肱骨小头骨折手术疗效。手术均采取肘前外侧入路逆向反拉克氏针固定,术后随访时间7个月~2年,采用Mayo肘关节功能评分标准对其疗效进行评估并与健侧肘关节功能进行对比。Mayo肘关节功能评分23例为优,13例为良,2例为中,与健侧肘关节屈伸和旋转活动度进行比较无明显差异,无内固定松动及肱骨小头坏死发生。故肘前外侧入路逆向反拉克氏针固定治疗肱骨小头骨折是一种简便可行、疗效确切的手术方式。

To analyze the kirschner wires which were reverse fixation for repairing capitellum fracture through anterolateral elbow approach. Retrospectively investigated the surgical outcome of 38 pediatric capitulum fractures treated by open reduction and reverse fixation with kirschner wires through anterolateral elbow approach. The treatment outcomes were assessed using Mayo functional criteria and compared with the contralateral. According to Mayo criteria,the results were excellent in 23 eases,good in 13 cases and fairly in 2 cases. There were no significant differences in flexion and rotation function compared with contralateral,and no internal fixation loosening or capitellum necrosis occurred. Open reduction and reverse fixation with kirschner wires through anterolateral elbow approach is a safe and effective method for the treatment of pediatric capitulum fracture.