硬纸壳托过屈位肘固定治疗儿童肱骨髁上骨折疗效观察（Treatment of supracondylar fracture of humerus in children by bending elbow with rigid shell）.doc

硬纸壳托过屈位肘固定治疗儿童肱骨髁上骨折疗效观察（Treatment of supracondylar fracture of humerus in children by bending elbow with rigid shell） Treatment of supracondylar fracture of humerus in children by bending elbow with rigid shell Update Date: 2009-04-01 click: Huang Yourong, Wang Dawei, An Liansheng Abstract Objective: To compare the effect of rigid shell over flexion, elbow fixation and small splint external fixation in the treatment of supracondylar fracture of humerus in children. Methods: 40 cases of supracondylar fracture of humerus were treated with rigid shell and bent elbow fixation, and compared with 40 cases of small plate external fixation at the same time. The curative effect was evaluated after 4 weeks treatment. The patients were followed up for 6 months to 2 years to observe the functional recovery of the elbow joint. Results: the clinical efficacy of the hard shell shell group was better than that of the small splint group (P 0.05). The incidence of cubitus varus was 5% in the hard shell shell group and 22.5% in the small splint group (P 0.05). Conclusion: the treatment of supracondylar fracture of humerus in children with rigid shell and bent elbow fixation can effectively prevent the displacement of the forearm after rotation and reduction, and reduce the tension blisters, which is beneficial to fracture healing. Keywords supracondylar fracture of humerus in children; cardboard holder had elbow splint fixation; 3 Supracondylar fracture of the humerus occurs in children, clinical reduction more than a small splint or plaster fixation; but fracture redisplacement commonly seen. The author since 1991 used cardboard to support elbow flexion fixation for supracondylar fracture of humerus in 40 cases, fixation and small splint application over the same period the extension type supracondylar fracture of 40 cases are compared, the results are as follows. 1 clinical information 80 cases were all out of the hospital, of which 40 cases were made of rigid paper, over flexion