手法复位联合外固定支架治疗儿童肱骨髁上骨折的临床分析

摘要

Objective To evaluate the clinical effect of manipulative reduction com-bined with assembly external fixator in the treatment for supracondylar fracture of humerus in children. Methods 36 cases of supracondylar fracture of humerus in children were treated by manipulative reduction combined with assembly external fixator during September 2006 to September 2009.Two pieces of screw nails were screwed in the dorsal aspect of the lower section of humerus and the proximal ulna for each child.As the reduction of fracture been confirmed by C-arm image intensifer after manipulation,the external fixators were connected thereafter.Results All of the 36 cases were re-ceived thehospital-acquired disease follow-ups which revealed that there were no complications such as infection,rupture and loosening of the nails.80.56％ of the patients were reported to have outcome scores that qualify as either good or excellent according to Flynn standard.Conclusions Manipula-tive reduction with assembly external fixator is an effective way for the treatment of supracondylar fracture of humerus in Children.%目的 探讨手法复位联合外固定支架治疗儿童肱骨髁上骨折的方法及临床疗效.方法2006年9月至2008年9月,采用手法复位联合外固定支架治疗儿童肱骨髁上骨折36例.在患侧肱骨下段背侧及尺骨近端背侧各拧入2枚螺纹半针;手法复位,在X线透视下见骨折位线满意后,连接外固定支架.结果36例患者全部接受随访,均无针口感染,无内固定物断裂及松动等并发症,根据Flynn评价标准,优良率达80.56%.结论对儿童肱骨髁上骨折,手法复位组合外固定支架是一种有效的方法.