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目的报告闭合穿针治疗儿童肱骨髁上骨折的临床经验。方法对2002-11-2010-06收治的243例儿童肱骨髁上骨折病例,采用闭合穿针治疗,按照Gartland骨折分类方法,根据Flynn评分系统进行回顾性分析。结果 238例获得随访,随访时间6~30(平均18)个月。穿针固定丧失6例,4例肘内翻,无一例发生Volkmann挛缩和骨化性肌炎。结论闭合穿针治疗儿童肱骨髁上骨折疗效满意。
Objective To report the clinical experience of closed needle in the treatment of supracondylar fracture of humerus in children. Methods A total of 243 children with supracondylar humerus fractures admitted between 2002-11-2010-06 were treated with closed needle puncture. According to the Gartland fracture classification method, the Flynn scoring system was used for retrospective analysis. Results 238 patients were followed up for 6 to 30 (average 18) months. Needle fixation loss in 6 cases, 4 cases of cubitus varus, no case of Volkmann contracture and ossifying myositis. Conclusion Closed needle treatment of supracondylar humerus fractures satisfactory results.