关于手法复位经皮克氏针固定治疗儿童肱骨髁上骨折体会.docVIP

关于手法复位经皮克氏针固定治疗儿童肱骨髁上骨折体会 文档信息 属性： Doc-03D0LA，doc格式，正文5997字。质优实惠，欢迎下载！ 说明： 作为医药学资料、临床医学资料的写作参考资料，提供解决怎么写及格式等相关问题。 适用： 作为文章写作的参考文献，解决如何写好实用应用文、正确编写文案格式、内容摘取等相关工作。 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：关于手法复位经皮克氏针固定治疗儿童肱骨髁上骨折体会 2 1 临床资料 3 2 结果 4 3 讨论 4 文2：经皮克氏针固定治疗儿童肱骨髁上骨折体会 6 1 资料与方法 6 2 结果 7 3 讨论 7 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 关于手法复位经皮克氏针固定治疗儿童肱骨髁上骨折体会 文1：关于手法复位经皮克氏针固定治疗儿童肱骨髁上骨折体会 [Abstract] Objective To investigate the therapeutic effects of closed reduction and percutaneous Kichner pin fixation combined with plaster support for the treatment of supracondylar humerus fractures in From May 2003 to December 2010，88 patients with Gartland Ⅲ supracondylar fractures were treated with closed reduction and percutaneous Kichner wire fixation combined with plaster support. Among the patients，66 patients were male and 22 patients were female， ranging in age from 3 to 14 yea，with an average of the patients were exteion type， 68 patients were ulnar deviation，20 patients were radial 88 patients were followed up，and the duration ranged from 6 to 36 months，averaged months. The healing time ranged from 4 to 6 weeks after surgery，with a mean of Complicatio occurred. According to Flynn criteria，63 patients got an excellent result，25 Closed reduction and percutaneous Kichner wire fixation combined plaster surpport for the treatment of utable supracondylar fractures in children has advantages including little trauma，reliable fixation，good elbow function and appearance。 [Key words] Supracondylar fracture of the humerus;Child;Elbow joint 肱骨髁上骨折是小儿最常见的骨折，占小儿肘部骨折的30%~40%[1]。笔者自2003年5月-2010年10月采用手法复位经皮克氏针内固定治疗儿童肱骨髁上骨折88例，取得良好疗效，现报告如下。 1 临床资料 一般资料 本组病例共88例，男66例，女22例，年龄3～14岁，均为伸直型骨折，其中尺偏型68例，桡偏型20例，均无神经血管损伤。病程最短6h，最长7天，平均住院5天。 治疗方法 采用氯胺酮或臂丛神经阻滞麻醉后，术区常规消毒铺单，患肘伸直，前臂中立位对抗牵引，纠正短缩及旋转移位，术者以双手置于肘内、外侧推挤以纠正尺偏移位，双手拇指顶住肱骨内外髁的后方，其余四指环抱骨折近端由前向后按压，术者复位的同时令助手在保持前臂牵引状态下屈曲肘关节，以纠正骨折的前后移位，术者可以感到骨折复位的骨擦感。经C型臂X线机透视骨折复位理想后，助手维持复位，肘部再次消毒后以直径克氏针自肱骨外髁部穿入皮肤，触及骨质后在冠