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上述措施可防止出现肘内翻或外翻畸形。These measures would prevent the cubitus varus or valgus deformity.

结果所有病例肘内翻畸形均获纠正，效果良好。Results The cubitus varus of all cases were corrected satisfactorily.

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目的研究治疗儿童肘内翻畸形的手术方法。Objective To study desired operation method of treatment cubitus varus deformity in children.

随访过程中未出现骨折不愈合、迟缓愈合或肘关节内、外翻等并发症的发生。In our follow-up, we hadn't found nonunion, delayed healing, cubitus varus or valgus and so on.

对于并发症肘内翻的预防应贯穿于骨折复位、固定、复查的始终。Reducing the incidence rate of cubitus varus must span in the course of reduction and fixation.

肘内翻畸形是小儿肱骨髁上骨折常见的并发症。Meanwhile, cubitus varus is the most common complication of the supracondylar fracture of humerus.

上骨折治疗最难点是极易发生肘内翻畸形。Cubitus varus is the most difficult question in the treatment of humeral supracondylar fracture in children.

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台大医院于七年中，共施行30次孩童的肱骨上踝骨切，以矫正叉内翻。During a 7 years period, 30 supracondylar humeral osteotomies for correction of cubitus varus were performed.

整合改良肱骨髁上骨折的外固定，使之能更有效地预防肘内翻。External fixation for supracondylar fracture of humerus is improved for the effective prevention of cubitus varus.

远折端受重力作用的重力性尺倾是产生肘内翻的主要原因。The gravitational ulnar inclination due to the effect of the gravity in distal end is the main cause of cubitus varus.

具有手术指征者，切开复位交叉克氏针内固定，可明显降低肘内翻的发生。For those needing operation, crossed-pin and interior fixation has very good effect with less possibility of cubitus varus.

目的探讨克氏针加PDS线张力带治疗儿童肘内翻畸形手术疗效。Objective To study the effect of Kirschner wire and PDS tension band internal fixation for cubitus varus deformity in children.

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同时，早期进行肘关节功能锻炼，是提高本种类型骨折治疗疗效、防止肘内翻畸形发生的关键。In addition, early functional exercise is to improve the efficacy of the types of fractures and prevent cubitus varus deformity.

结论克氏针PDS张力带内固定是治疗儿童肘内翻是简便、有效的良好手术方法。Conclusions Kirschner wire and PDS tension band fixation is a simple and effective method to treat cubitus varus deformity in children.

目的研究肱骨髁上骨折有效的治疗方法以及降低肘内翻的发生率。ObjectiveTo discuss effective therapy methods for supracondylar fracture in children and how to reduce the incidence rate of cubitus varus.

长期以来，保守和手术疗法均难以降低肘内翻发生率。For a long time, neither traditional treatment nor operation treatment is effective actively on reducing the rate of occurrence of cubitus varus.

但若超过六周给予治疗，则肘关节僵硬，愈合不良及肘外翻畸形机率均甚高。However, in those who were treated after 6 weeks period, the incidence of joint stiffness, nor union and cubitus valgus deformity was quite high.

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结果13例均获得临床一期愈合，无感染、肘关节屈伸受限和肘内翻畸形等严重并发症发生。Results All cases of fracture healed without severe complication such as infection, limited flection orextensioin of elbow joint and cubitus varus.

存在中重度旋转移位会适当增加肘内翻的几率，但对肘关节功能影响不明显。However, moderate and severe rotation will increase the rate of cubitus varus correspondingly, although not evidently impact on the fuction of elbow joint.

方法采用肱骨髁上楔形截骨加克氏针PDS张力带内固定方法治疗23例儿童肘内翻畸形。Methods 23 cases of cubitus varus deformity in children were treated by supracondylar wedge-shaped osteotomy and Kirschner wire and PDS tension band fixation.