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儿童肱骨外髁骨折的分型和治疗(附36例远期随访分析) 被引量:4

The classification and treatment of humeral external-condylar frocture in children: An analysis of long-term follow-up in 36 cases
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摘要 提要报告了36例Ⅲ、Ⅳ、Ⅴ型儿童肱骨外髁骨折,采用旋转屈伸复位法治疗,成功31例,失败5例。远期随访结果优8例,良15例,优良率达82%。观察认为,根据本病的损伤机制、病理变化分为五型更有利于指导临床治疗。早期无损伤闭合复位是治疗本病的首选方法。严格要求解剖或近解剖复位,避免损伤骨骺,给予牢固而充足时间的固定等是减少畸形,恢复肘关节功能的关键。 Thirty-six cases of children's humeral external-condylar fractures of Types Ⅱ,Ⅳ and Ⅴ were treated by rotation-extension-flexion reduction with success in 31 cases and failure in 5 cases. Long-term follow-up showed excellent results in 8 cases, good ones in 15 cases and an excellent-good rate of 82%. Through observations It was considered that five-type classification could be more beneficial to the clinical treet-ment in comparison with others. Early non-traumatic closed reduction is the firstselected method for this disease. The key to reducing the deformity and recovering the elbow function IS anatomic and near-anatomic reduction, cvoidence of epiphyseal injury and stable adequate-time fixation.
出处 《中医正骨》 1992年第1期10-11,共2页 The Journal of Traditional Chinese Orthopedics and Traumatology
关键词 肱骨外髁骨折 正骨疗法 分型 儿童 IIUMERAL EXTERNAL-CONDYLAR FRACTURE/ TREATMENTCLASSIFICA TION TRADITIONAL ORTIIOPEDIC-TRAUMATOLOGICAL TIlERAPY CIIILDREN
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