儿童肱骨髁上骨折手术治疗研究进展

Advances in Surgical Treatment of Supracondylar Humerus Fracture in Children

摘要: 在儿童肱骨髁上骨折的治疗中，稳定性骨折多采用手法复位配合外固定治疗，而不稳定性骨折则需进行手术治疗。肱骨髁上骨折手术治疗方式主要包括闭合复位内固定、切开复位内固定，但对于旋转移位明显或粉碎性骨折，传统闭合复位克氏针内固定难以有效维持骨位，而切开复位可能导致较大的组织损伤并增加感染风险，这些都可能对患者后期功能恢复产生不利影响。因此，如何选择有效的手术方式治疗儿童肱骨髁上骨折是临床面临的问题。本文旨在对儿童肱骨髁上骨折手术治疗方法的最新进展进行总结。

Abstract: In the treatment of supracondylar fracture of humerus in children, the stable fracture is treated by manual reduction and external fixation, while the unstable fracture is treated by surgery. Surgical treatment of supracondylar fractures mainly includes closed reduction and internal fixation and open reduction and internal fixation. However, traditional closed reduction and Kirschner wire fixation is difficult to maintain the bone position for supracondylar fractures with large rotational displacement or comminuted fractures of humerus, while open reduction has risks such as greater damage and easy infection, which may adversely affect the later functional recovery of patients. Therefore, how to choose an effective surgical method to treat supracondylar fracture of humerus in children is a clinical problem. The following is a summary of the progress in surgical treatment of supracondylar humerus fractures in children.