岳思 孙晓蕾 白哲

摘要：目的 针对小儿肱骨髁上骨折选择手法复位经皮克氏针内固定治疗的临床疗效进行观察及分析。方法 30例小儿肱骨髁上骨折患儿，均为本院2019年6月-2020年6月收治，入院后均接受手法复位经皮克氏针内固定治疗，分析治疗效果。结果 30例患儿各项手术指标理想，后期成功随访12个月，骨折均良好愈合，关节恢复正常功能，未发生异位骨化、肘内翻畸形、尺桡神经损伤等情况。结论 应用手法复位经皮克氏针内固定治疗小儿肱骨髁上骨折总体效果理想，患者踝关节功能恢复效果确切，具备临床推广应用价值。

关键词：小儿;肱骨髁上骨折;手法复位;经皮克氏针内固定

[Abstract]Objective To observe and analyze the clinical effect of manual reduction and percutaneous Kirschner wire internal fixation for supracondylar fracture of humerus in children. Methods 30 children with supracondylar fracture of humerus were treated in our hospital from June 2019 to June 2020. After admission，they were treated with manual reduction and percutaneous Kirschner wire internal fixation，and the therapeutic effect was analyzed. Results all the operation indexes of 30 cases were ideal，and they were followed up successfully for 12 months. All the fractures healed well and the joints recovered to normal function. No heterotopic ossification，cubitus varus deformity，ulnar and radial nerve injury occurred. Conclusion the overall effect of manual reduction and percutaneous Kirschner wire internal fixation in the treatment of supracondylar fracture of humerus in children is ideal，and the recovery effect of ankle joint function is exact，which has the value of clinical application.

[Key words]children;Supracondylar fracture of humerus;Manual reduction;Percutaneous Kirschner wire internal fixation

針对小儿肱骨髁上骨折，临床常用治疗方案包括闭合复位、夹板外固定和石膏外固定治疗【1】。治疗后常见并发症包括骨筋膜室综合征导致的挛缩和畸形、血管和神经功能损伤等，会对儿童的正常生长发育形成不利影响。为此，优化骨折治疗方案对于预后具有积极作用。现阶段，临床重视并广泛推行微创治疗方案，手法复位经皮克氏针内固定治疗应用于临床获得理想效果【2】。为了进一步明确其治疗效果，本次研究将本院接收的小儿肱骨髁上骨折选择手法复位经皮克氏针内固定治疗患儿作为研究对象，重点分析研究治疗方案的临床价值。详情汇报如下：

1 资料和方法

1.1一般资料

于30例小儿肱骨髁上骨折患儿，均为本院2019年6月-2020年6月收治。入组对象均经影像学检查后确诊为新鲜肱骨髁上骨折，患儿家长对研究知情并于相关文件上签字进行确认;同时将合并其他损伤患儿、合并血管或是神经损伤患儿、不稳定型骨折患儿排除。……