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ID:11292810
大小:145.00 KB
页数:6页
时间:2018-07-11
《尺神经沟置针与桡侧克氏针交叉固定儿童gartlandⅲ型肱骨髁上骨折》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、尺神经沟置针与桡侧克氏针交叉固定儿童GartlandⅢ型肱骨髁上骨折朱亚中周嵘吴水培董德胜刘志安王春生【摘要】目的:评价尺神经沟置针与桡侧克氏针交叉固定治疗儿童GartlandⅢ型肱骨髁上骨折的可行性及疗效。方法:1998年1月到2010年10月采用尺神经沟置针与桡侧克氏针交叉固定治疗儿童GartlandⅢ型肱骨髁上骨折患儿144例,随访时检查环小指运动及感觉情况,测量双上肢长度、肘关节屈伸度、摄双肘正位片测量Baumann或提携角。结果:144例患儿,随访14~85月,平均60个月,按HSS肘关节功能评定法行功能评价:优秀率97%,无肘内翻及肘外翻畸形,无继发尺神经
2、损伤,肢体无短缩;结论:尺神经沟置针与桡侧克氏针固定儿童GartlandⅢ型肱骨髁上骨折可获得良好的肘关节功能及外观,同时预防肘内翻畸形及继发尺神经损伤,对骨骺生长发育无明显影响。 【关健词】尺神经沟;内固定;髁上骨折;肱骨 InternalFixationwithcrossKirschnerWiresinSulcusforUlnarNerveandepicondyluslateralisofhumerusinTreatmentofGartlandⅢSupracondylarFractureofHumerusinChildrenZHUYa-zhong,ZHOURon
3、g,WUShui-pei,etal.DepartmentofOrthopaedics&CenterofOrthopaedicTraumaRepairandReconstruction,98thHospitalofPLA,Huzhou313000,ZhejiangOrovince,China【Abstract】ObjectiveToinvestigatethefeasibilityandthecurativeeffectofinternalfixationwithclosedKirschnerwiresinthesulcusforulnarnerveandepicond
4、yluslateralisofhumerusinthetreatmentofGartlandⅢsupracondylarfractureofhumerusinchildren.MethodsThedataof158childrenwithGartlandⅢsupracondylarfractureofhumerusinchildrenweretreatedwithinternalfixationwithcrossKirschnerwiresinthesulcusforulnarnerveandepicondyluslateralisofhumerusbetweenJa
5、n.1998toOctober.2010.Lengthofbothupperextremitiesandtherangesofmotioninelbowjointweremeasured,andThebaumannanglewasmeasuredbyIntakeelbowsidepositionpieceinfollowingupandthefunctionwasestimatedaccordingtoHSSscoringforfunctionoftheelbowjointoneyearpostoperatively.ResultsAllpatientswerefol
6、lowedupforanaverageof60monthswithoutcubitusvarusandsecondaryinjuryofulnarnerveorextremitiesshortness.ByHSSscale,Theexcellentratewas97%.ConclusionTheclinicalresultsofChildrenGartlandⅢsupracondylarfractureofhumerustreatedwithinternalfixationwithcrossKirschnerwiresinthesulcusforulnarnervea
7、ndepicondyluslateralisofhumeruswassatisfactory.Thetreatmenthadnoinfluencetoepiphysealgrowth,andalsopreventedcubitusvarusdeformityandsecondaryulnarneverinjury.KeyWordsSulcusforulnarnerve;Kirschnerwires;Supracondylarfracture;cubitusvarusdeformity;ulnarneverinjury.基金项目:军区医学科学技术研究“
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