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目的:探讨手术内固定法与非手术外固定法的治疗肱骨髁上骨折的效果。方法:选取2009年我院收治的肱骨髁上骨折患者30例作为研究对象,对其进行手法复位石膏外固定法进行治疗,并与2010年同期采用斯氏针撬拨复位交叉克氏针内固定法治疗的50例肱骨髁上骨折患者进行疗效对比。结果:手法复位外固定满意24例,治疗时间较长,临床效果评价较差,优良率为83.33%。c臂透视下斯氏针撬拨复位交叉克氏针内固定满意48例,治疗时间较短,临床评价较好,优良率为96.00%。结论:由于肱骨髁上骨折易发于小儿,所以一般骨折后都会出现不同程度的软组织损伤。而手法复位外固定法要求患者长时要保持一定姿势,患者不易做到。为达到最好的治疗效果,建议选择斯氏针撬拨复位交叉克氏针内固定疗法。
Objective: To investigate the effect of internal fixation and non-surgical external fixation in the treatment of supracondylar humerus fractures. Methods: Thirty patients with supracondylar fracture of humerus who were treated in our hospital in 2009 were selected as the research object. The patients were treated with manual reduction and plaster external fixation. In the same period, Treatment of 50 patients with supracondylar humerus fractures in patients with efficacy comparison. Results: 24 cases were satisfactorily satisfied by manual reduction and external fixation. The treatment time was longer and the clinical effect was poorly evaluated. The excellent and good rate was 83.33%. C arm fluoroscopy Schmidt pinch pusher reset cross Kirschner wire internal fixation satisfaction in 48 cases, the treatment time is short, the clinical evaluation is good, excellent and good rate was 96.00%. Conclusion: Due to supracondylar humerus fractures occur in children, so the general fracture will appear different degrees of soft tissue injury. The manual reduction of external fixation requires patients to maintain a certain posture for a long time, the patient is not easy to do. In order to achieve the best therapeutic effect, it is advisable to choose Schmidt’s pin to lift the cross-over Kirschner wire fixation.