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近5年来,我们采用三维截骨术矫正儿童肱骨髁上骨折所致肘内翻畸形的新手术方法,疗效满意,现介绍如下。临床资料:男7例,女1例。左侧4例,右侧4例。年龄3~14岁,平均7.5岁。全部病例为跌倒受伤,闭合性伸展型肱骨髁上骨折所致,均曾经手法复位及小夹板固定,就诊时间为受伤后3个月~7年,平均1年10个月。肘内翻35~45°,平均37.5°。Baumann 角80~90°,8例均有不同程度的倾倒和内旋。采用三维截骨矫正后,经3个月~4年10个月(平均2年9个月)随访,根据临床检查和 X 线片
The past five years, we use the three-dimensional osteotomy in children with supracondylar humerus caused by cubitus varus deformity of the new surgical method, the effect is satisfactory, are described below. Clinical data: 7 males and 1 female. 4 cases on the left and 4 cases on the right. Age 3 to 14 years old, average 7.5 years old. All cases were fall injury, closed extensor humeral supracondylar fracture caused by both manual reduction and small splint fixation, treatment time was 3 months to 7 years after injury, an average of 1 year and 10 months. Elbow valgus 35 ~ 45 °, an average of 37.5 °. Baumann angle 80 ~ 90 °, 8 cases have different degrees of dumping and internal rotation. Three-dimensional osteotomy after correction, after 3 months to 4 years and 10 months (mean 2 years and 9 months) follow-up, according to clinical examination and X-ray