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目的探讨采用交叉克氏针治疗儿童有移位肱骨髁上骨折的注意事项及疗效。方法对需手术治疗的42例有移位肱骨髁上骨折患儿,选择不同肘关节手术入路,切开复位后,分别于肱骨内外髁向肱骨近端行交叉克氏针内固定,3~4周拔除克氏针,行肘关节屈伸功能锻炼。结果根据Dodgt′s疗效评价标准,优30例,良11例,差1例,优良率97.6%。结论切开复位交叉克氏针固定治疗儿童有移位肱骨髁上骨折,操作易掌握,复位理想,固定相对牢靠,可较早行康复锻炼,肘关节功能恢复良好。
Objective To investigate the precautions and therapeutic effects of cross Kirschner wire on supracondylar humerus fractures in children. Methods 42 children with displaced supracondylar humerus fractures undergoing surgical treatment were enrolled in this study. Different elbow joints were selected for surgical approach. After open reduction and reduction, internal fixation of Kirschner wires was performed on the proximal humerus of the humerus. 4 weeks removed Kirschner wire, elbow flexion and extension exercises. Results According to Dodgt’s curative effect evaluation criteria, 30 cases were excellent, 11 cases were good and 1 case was poor. The excellent and good rate was 97.6%. Conclusions Open reduction and cross Kirschner wire fixation for the treatment of displaced supracondylar humerus fractures in children is easy to grasp and operate. It is ideal for the reduction and fixation, and can be fixed relatively early. The functional recovery of the elbow is good.