Objective To compare the complications of the anterograde elastic intramedullary needle and the ascending cross Kirschner techniques for the treatment of supracondylar fracture of the humerus. Method From January 2008 to December 2010, Elastic intramedullary needle treatment technology used in the treatment of fractures in humeral condyle 35 cases( group A ), In January 2002 to December 2007, 62 patients ( group B ) Gartland II and Gartland III humerus fracture restoration on condyle by cross kwire fixation,To score the elbow by Mayo, ROM measurement, coattails angle measurement, after respectively in 3 months and 6 months. Results Group A elbow Mayo functional score, elbows ROM evaluation is better than B group( P < 0. 01 ,P <0. 05 ). The chang of Group A's carrying angle has obvious advantage then group B. Both groups were no elbow valgus occurred. Conclusion Compared with Kirschner wire fixation and Flexible intramedullary nail,the latter complications was reduced,especially in the prevention of elbow stiffness and cubitus varus side.%目的 比较顺行弹性髓内针与逆行交叉克氏针治疗儿童肱骨髁上骨折的近远期并发症,探讨顺行弹性髓内针治疗儿童肱骨髁上骨折的优势.方法 2008年1月至2010年12月,作者采用弹性髓内针技术儿童治疗肱骨髁上骨折35例,为A组,2002年1月至2007年12月,对62例(为B组)Gartland Ⅱ型和Gartland Ⅲ型肱骨髁上骨折患儿采用复位后交叉克氏针固定.分别对两组患儿于术后3个月和6个月进行肘关节Mayo评分、ROM测量、提携角测量.结果 A 组Mayo肘关节功能评分及ROM 评测均优于B组(P<0.01,P<0.05).A 组提携角改变较B组有明显优势,两组均无肘外翻发生.结论 弹性髓内针治疗儿童肱骨髁上骨折,并发症较克氏针固定技术明显减少,尤其是在预防肘关节僵硬和肘内翻方面,有明显优势.
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