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我院自1995年1月-2003年12月收治96例肱骨髁上骨折患者,分别采取不同的治疗方法:即手法复位小夹板外固定、经皮穿针内固定和手术切开双根克氏针交叉张力带内固定、交叉克氏针纵形“8”字张力带固定。笔者对多种治疗方法进行了资料总结比较。1临床资料1.1一般资料男75例,女21例,年龄2.5-13岁,其中2.5～5岁19例,6-9岁59例,10-13岁18例。伤后24h内就医者64例、10d后23例,2例患者伤后2个月来就医。按损伤机制分类,即肱骨髁上骨折多发生于运动、生活和交通事故伤,系间接暴力所致,将骨折分为伸展型、伸展尺偏型,伸展桡偏型和屈曲型。伸展型肱骨髁上骨折54例,左肱骨髁
96 cases of supracondylar fractures of humerus were treated in our hospital from January 1995 to December 2003. Different treatment methods were adopted, which were manual reduction and external fixation of small splints, percutaneous needle internal fixation and surgical dissection of double root Kirschner wire Needle cross-tension band fixation, cross Kirschner wire longitudinal “8 ” word tension band fixed. The author of a variety of treatment methods were summarized data comparison. 1 Clinical data 1.1 General Information 75 males and 21 females, aged 2.5-13 years, of which 2.5 to 5 years in 19 cases, 6-9 years in 59 cases, 10-13 years in 18 cases. Sixty-four patients were admitted to the hospital within 24 hours after injury, 23 patients after 10 days and two patients were admitted to hospital after 2 months injury. According to the classification of injury mechanisms, supracondylar fractures occur in sports, life and traffic accidents, caused by indirect violence, the fracture is divided into stretch, stretch ulnar deviation, stretch radial deviation and flexion type. 54 cases of extensional humeral supracondylar fractures, the left humerus condyle