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目的 介绍采用三维方向调整的非手术方法治疗儿童合并旋转移位肱骨髁上骨折的体会。方法 对合并有旋转移位的肱骨髁上骨折的患儿 2 1例 ,在尺骨牵引的基础上 ,采用悬吊位和外展水平位两种体位、超重牵引、三维方向调整各种移位。结果 本组病例都进行了 1年以上的门诊随诊。携物角同健侧比较均小于 15°,肘关节屈伸受限范围小于 2 0° ,优秀 18例 ,良好 3例。无肘内翻 ,无血管神经并发症。结论 采用三维方向调整的非手术方法治疗儿童合并有旋转移位肱骨髁上骨折 ,骨折复位效果好、并发症少、方法简单可靠 ,对患儿损伤小 ,是一种可行的非手术方法。
Objective To introduce a non-surgical method of three-dimensional orientation adjustment for the treatment of supracondylar humerus fractures in children with rotational displacement. Methods Twenty-one cases of supracondylar humerus fractures with rotation dislocation were performed on the basis of ulnar traction. The two positions of suspension and abduction levels were used. Overweight traction and three-dimensional directions were used to adjust for various displacements. Results All cases were followed up for more than one year. Compared with the healthy side of the object angle less than 15 °, elbow flexion and extension limits less than 20 °, excellent in 18 cases, good in 3 cases. No elbow varus, no vascular neurological complications. Conclusion The three-dimensional direction-adjusted non-surgical treatment of supracondylar humerus fractures in children with rotational displacement, fracture reduction effect is good, less complications, the method is simple and reliable, small damage to children, is a viable non-surgical method.