Ni Hongqiang,Lou Yue.Therapeutic advances of supracondylar humeral fractures in children[J].Journal of Clinical Pediatric Surgery,2020,19(04):364-369,376.[doi:10.3969/j.issn.1671-6353.2020.04.016]
儿童肱骨髁上骨折的治疗进展
- Title:
- Therapeutic advances of supracondylar humeral fractures in children
- 关键词:
- 肱骨髁上骨折/外科学; 临床方案; 并发症; 儿童
- 分类号:
- R726.8;R683.41
- 摘要:
- 肱骨髁上骨折是儿童最常见的肘部骨折，好发于5~7岁儿童，根据受伤机制的不同可分为伸直型和屈曲型，伸直型约占98%，Gartland又进一步将其分为3型。由于肱骨远端解剖结构特殊，骨折复位困难且不稳定。若治疗不当，易发生血管神经损伤、骨筋膜室综合征及肘内翻畸形等并发症。随着医疗技术的发展，儿童肱骨髁上骨折的治疗理念逐渐得到完善。本文就目前儿童肱骨髁上骨折的治疗时机、治疗方式的选择及并发症的治疗作一综述。
- Abstract:
- Supracondylar humeral fractures occur frequently in children aged 5-7 years.According to different injury mechanisms,supracondylar humeral fractures are divided into extension and flexion types.Accounting for around 98%,extension type is further divided into three sub-types by Gartland.Due to special anatomical structures of distal humerus in children,obtaining stable reduction has remained difficult.The common complications include neurovascular injury,compartment syndrome or cubitus varus deformity.With the constant developments of medical technology,the treatment concepts of supracondylar humeral fractures have improved gradually.This review summarizes treatment options,therapeutic timing and complication managements of supracondylar humeral fractures.
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备注/Memo
收稿日期:2018-03-31。
基金项目:江苏省"科教强卫工程"青年医学人才项目（编号：QNRC2016094）
通讯作者:楼跃,Email:jsnjly@126.com