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[儿童肱骨髁上骨折移位采用骨牵引与经皮克氏针固定治疗结果的比较]

[The comparison of the results of treatment of displaced supracondylar humeral fractures by skeletal traction and percutaneous K-wire fixation in children].

作者信息

Domzalski M, Witoński D

机构信息

Katedra i Klinika Ortopedii, Akademia Medyczna w Łodzi.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2001;66(4):337-43.

Abstract

The aim of the study was to compare of the results of treatment of displaced supracondylar humeral fractures by skeletal traction and percutaneous K-wire fixation in children. We assessed retrospectively the type and result of treatment of 23 children. We obtained very good results in all cases treated by closed reposition secured by percutaneous K-wire fixation. In the group treated by skeletal traction, in 5 cases reposition was inadequate with subsequent limitation of range of motion in the elbow joint. According to our results closed reposition and percutaneous fixation should be the method of choice in displaced supracondylar humeral fractures in children.

摘要

本研究的目的是比较小儿肱骨髁上移位骨折采用骨牵引和经皮克氏针固定的治疗结果。我们回顾性评估了23例患儿的治疗类型和结果。经皮克氏针固定闭合复位治疗的所有病例均取得了非常好的效果。在骨牵引治疗组中,有5例复位不充分,随后出现肘关节活动范围受限。根据我们的结果,闭合复位和经皮固定应是小儿肱骨髁上移位骨折的首选治疗方法。

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