关键词: 肱骨髁上骨折, 切开复位内固定手术, 肘前方入路, 手术时间, 肘关节功能

Abstract:

Objective: To observe the clinical effect of open reduction and internal fixation through anterior transverse approach in
the treatment of supracondylar fractures of the humerus in children. Methods: 45 children with supracondylar fractures of the humerus
who were difficult to be cured by closed reduction were randomly divided into observation group（23 cases）and control group（22
cases）. The observation group was treated with open reduction and internal fixation through anterior transverse elbow incision, while
the control group was treated with open reduction and internal fixation through lateral elbow incision. The operation time and fracture
healing time were compared between the two groups. Flynn elbow function score was used to evaluate elbow function 3 months after
operation, HSS function score was used to evaluate clinical efficacy, and comparisons were made between groups. Results: Compared
with the control group, the healing time of fracture in the observation group was similar（P > 0.05）, but the operation time was shorter
（P < 0.05）, and the elbow function recovery was similar after 3 months（P > 0.05）, but the clinical curative effect was better（P <
0.05）. Conclusion: Compared with lateral approach of elbow joint, anterior transverse incision of elbow can shorten the operation time
and improve the clinical effects. It can be the first choice of open reduction and Kirschner wire internal fixation for the treatment of
supracondylar fractures of the humerus in children.

Key words: supracondylar fractures of the humerus, open reduction and internal fixation, anterior elbow approach, operation time, elbow joint function