肱骨髁上骨折治疗和预防的临床研究
【摘要】目的 研究有效的肱骨髁上骨折治疗方法和如何降低肘内翻的发生率。方法 采用多层夹板固定治疗75例伸直肱骨髁上骨折。结果 认为骨折的内侧应力较外侧强，使内侧骨皮质塌陷是产生肘内翻的病理基础；远折端受重力作用的重力性尺倾是产生肘内翻的主要原因；弹性固定系统的多层夹板固定，是有效的方法。预防肘内翻的关键是合理的复位与固定及早期正确的X线评价。【关键词】肱骨髁上骨折;肘内翻;治疗;预防
The Clinical Study of the Treatment of and Guard Against the Humerus Upper Condylar Fracture ZHANG Rong-fu.(Changchun Jicai Hospital, China 130031, China)
【Abstract】To research effective treatment for humerus upper condylar fracture and reduce the happening rate of elbow turn inside.Methods 75 strainghtenning condylar fracture treated by multileveled Splints fixing.Results Finding the stress of fracture inside is stronger than outside. The sunk in of inside bone skin is the basic pathology for elbow turn inside .The gravity effect to far end of fracture is the main reason of elbow turn inside. Fixing by multileveled splints of elastic system is the effective method. The proper reset and fixing and correct early X-ray judgement is the key for guard against elbow turn inside. ......
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