临床研究小儿肱骨髁上骨折肘内翻预防.PDFVIP

2007 8 20 8 China J Orthop T raum a, Aug. 2007, Vo.l 20, No. 8 515 周根欣, 詹振宇, 章善富 ( , 311801) ! : 探讨小儿伸直型肱骨髁上骨折的治疗方法和防止 肘内翻发生的有效措施: 伸直型小儿肱 骨髁上骨折患者 91 , 其中男 64 , 女 27 ; 年龄 17 个月~ 15岁, 平均 73岁; 骨折类型全部为闭合性伸直型, 桡偏 型 36 , 尺偏型 31 , 旋转型 24 采用手法复位曲肘前臂旋前位夹板固定治疗: 91 均获随访, 随访时间 3~ 36 个月, 平均 19 个月, 参照李稔生等的疗效评定标准, 优 62 , 良 23 , 可 5 , 差 1 , 优良率 934% 肘内翻 7 , 占 77% : 手法复位夹板固定是治疗小儿肱骨髁上骨折的常用方法, 预防肘内翻的关键是正确的复位与合 理的固定以及早期正确的 X 线评价 ! 肱骨髁上骨折; 肘内翻; 正骨手法 Prevention of cubitus varus for supracondylar fracture of the humerus in children ZH OU Genx in, ZHAN Zhenyu, ZHAN G Shanf u. Departm ent of Orthopaedics, the Sixth P eop le∀sH osp ital of Zhuj i, Zhuj i 311801, Zhej ian , China ABSTRACT Objective: To investigate the treatm ent an prevention of cub itus varus secon ary for supracon ylar fracture of hum erus in chil ren.M ethods: There were 91 ch il ren(male 64, fem ale 27; age 17 m on ths to 15 years, average 7. 3 years) w ith isp lace extensiontype of supracon ylar fracture of the hum erus. A ll of the patients ( tiltingra ial in l36, tiltingu lnar in 31, rotation in 24) w ere treate w ith m an ipu lative re uction an sp linting, then keep the forearm in flexion an pronation. Results: A ll the patientsw ere follow e up for 3 to 36 m on ths, average 19 m onths. The norm ofLI R enshen # s w as use to e valuate the resu lts. The result w as excellent in 62 cases, goo in 23, fair in 5 an poor in 1, the excellent an goo rate was 934% . Seven cases ha cub itus varus, inci ence of cub itus varuswas 77% . Conclusion:M an ipu lative re uction an sp lin ting is the treatm ent for supracon ylar fractu re of the hum erus in ch il ren, correct re uction an reasonable fixation an correct evaluation w ith Xray is a key to prevent cubitus varus. K ey ords Supracon ylar fracture of hum erus; Cubitus varus; Bone settingm anipulation