肘内翻是小儿肱骨髁上骨折最常见并发症,尽管国内、外学者长期以来对此做了大量研究,并取得一定进展,但至今仍未能作出肯定和公认的预防办法,是亟待解决的难题之一。 1 发生率 3.3～79.2％,平均30％。国外文献报告高者达57～75％,最低为5％。国内邸建德氏报告切开复位肘内翻发生率为76.6％,石膏托固定55％,骨牵引为36.8％,小夹板固定35.3％。王世清氏对172例临床随诊观察。34例远折端桡偏型移位者无1例发生肘内翻;而68例骨折复位后仍遗留有尺偏、尺倾者均发生了肘内翻。朱盛修氏对50例小儿肱骨髁上骨折的疗效分析,在尺偏型的24例中,19例(79.2％)发生了肘内翻。手术复位内固定并不一定是预防肘内翻的最 Cubitus varus is the most common complication of supracondylar fractures of the humerus in children. Although domestic and foreign scholars have done a great deal of research for a long time and made some progress, but it still can not make affirmative and accepted preventive measures, so it is urgent to solve One of the problems. 1 incidence of 3.3 to 79.2%, an average of 30%. The highest reported foreign literature reached 57 to 75%, a minimum of 5%. National Di Jiande reported open incision toggle varicocele rate was 76.6%, cast plaster fixed 55%, bone traction was 36.8%, a small splint fixed 35.3%. Clinical observation of 172 cases treated by Wang Shijing. There were no cases of cubitus varus inversion in 34 cases of far-distal radial deviation type displacements; while the remaining 68 cases of ulnar deviation and ulnar deviation occurred in 68 cases with cubitus varus. Zhu Shengshu 50 cases of pediatric supracondylar humerus fractures in the ulnar type of 24 cases, 19 cases (79.2%) of the cubitus varus. Surgical reduction and internal fixation is not necessarily the most prevention of cubitus varus