以恢复骨折断端线理念治疗儿童肱骨髁上骨折(gartlandⅲ型)的临床研究.pdfVIP

GartlandIII 型儿童肱骨髁上骨折的治疗具有重要意义。因此，降低儿童肱骨髁上骨折 （GartlandⅢ型）肘内翻发生率的有效方法是正确良好的对位对线和牢固的固定。 关键词 儿童肱骨髁上骨折；恢复骨折断端轴线理念；临床研究 Axis fracture site in order to restore the concept of supracondylar fracture of humerus in children (Gartland Ⅲ type) clinical study Speciality: Pediatric Orthopaedics Author:Liang Bocheng Tutor:Professor Liu Fuqi Abstract Objective: To study the treatment of open reduction and cross-pinning of supraco- ndylar humerus fractures (Gartland Ⅲ type) the clinical efficacy and axes in order to restore the principle of fracture fragments, carrying angle adjustment of surgery to prevent the incidence of cubitus varus, cubitus lower turn the feasibility and effectiveness of the incidence analysis. Methods: 72 patients met the inclusion criteria selected children treated supracondylar fractures (Gartland Ⅲ type) patients, according to the different treatment methods are divided into A group and B group, A group of 50 patients choice of treatment with open reduction and cross-lateral incision g Stipa fixed; B group, 22 cases were treated with C-arm fluoroscopy closed reduction and percutaneous pinning fixation. Two groups were gender, age, swelling, distribution of disease location, fracture type of comparison, there was no significant difference between comparable. After two groups of patients were carried on the angle, elbow flexion and extension activities, functions, the incidence of cubitus varus and overall outcomes were compared to evaluate the treatment of open reduction and cross-pinning of supracondylar humerus fractures fixed (Gartland Ⅲtype) clinical efficacy, and further analysis of the indications for surgical treatment of open reduction, and analysis to bring the healthy side of patients based on the size of angle in order to