外固定架治疗小儿肱骨髁上粉碎性骨折.docVIP

外固定架治疗小儿肱骨髁上粉碎性骨折[摘要] 目的：分析采用闭合复位外固定架治疗小儿肱骨髁上粉碎性骨折的临床疗效。方法：本科2006年1月～2009年12月采用闭合复位外固定架治疗小儿肱骨髁上粉碎性骨折21例，所有骨折均为闭合性骨折，无神经血管损伤。患者年龄4～11岁，平均7.8岁。从肘关节的功能和外观两方面进行疗效评价。结果：术后随访时间为6～10个月，平均8个月。所有骨折均为术后3～5周达到临床愈合，去除外固定架，治疗过程中未出现骨折再移位，术后1例肘内翻并发症。按Flynm评分：优19例，良1例，一般1例，差0例。肘关节伸屈活动丢失是影响治疗结果的主要原因，但这种活动受限会随着时间的延长而有所改善。结论：采用闭合复位经外固定架治疗儿童肱骨髁上粉碎性骨折手术创伤小，固定可靠，可以获得良好的肘关节功能和外形，减少并发症。 [关键词] 肱骨髁上粉碎性骨折；闭合复位；外固定架；小儿 [中图分类号] R274.11 [文献标识码]C [文章编号]1674-4721（2011）04（b）-168-02 External fixation children humerus condylar on a commimuted fracture YIN Wanle, MA Lige,SONG Wenchao Department of Trauma Orthopaedic, Zhengzhou People’s Hospital of Henan, Henan Province, Zhengzhou 450003 , China [Abstract] Objective: To analyze closed reduction fixation children humerus outside a commimuted fracture condylar. Methods: From January 2006 to December 2009 our hospital adopted closed reduction fixation children humerus outside on a commimuted fracture condylar fractures 21 cases, all were closed fractures, without neurological vascular injury. Patients aged 4-11 years, mean 7.8 years old. Assessed effect from elbow function and appearance. Results: Patients were followed up 6-10 months, the average was 8 months. All fractures were after 3 to 5 weeks to clinical healing, except to fixed frame, treatment process did not appear fractures and shift, 1 case of postoperative complications such as elbow turn inward. According to Flynm rating: 19 cases were excellent, 1 case with good, 1 case with the general, none bad. Elbow flex activities affect treatment results of lost was main reason, but this restricted movement would with the extension of time and improve. Conclusion: The closed reduction by external fixation children humerus condylar on a commimuted fracture surgical trauma is small, reliable, it can obtain good fixed the elbow function and appearance, to reduce the complications. [Key words] Condylar on a commimuted fracture; Closed reduction; External fixation; Pediatric 肱骨髁上骨折是儿