TREATMENT OF THE DISPLACED SUPRACONDYLAR FRACTURE OF THE HUMERUS (TYPE-III) WITH CLOSED REDUCTION AND PERCUTANEOUS CROSS-PIN FIXATION

被引：74

作者：

MEHSERLE, WL ^{[1
]}

MEEHAN, PL ^{[1
]}

机构：

[1] SCOTTISH RITE CHILDRENS HOSP,ATLANTA,GA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1991年 / 11卷 / 06期

关键词：

CHILDREN; PERCUTANEOUS PIN FIXATION; SUPRACONDYLAR FRACTURE; HUMERUS;

D O I：

10.1097/01241398-199111000-00001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Forty-five consecutive patients treated for displaced supracondylar fractures of the humerus, Type III, by means of closed reduction and percutaneous crossed-pin fixation, were studied retrospectively. Thirty-three were available at an average of 33 months post-injury for clinical and radiographic follow-up of the affected and nonaffected extremities. Five additional patients returned radiographs for analysis. Baumann's angle and a lateral humeral capitellar angle were assessed and found to be useful clinical guides for assessing the adequacy of maintenance of fracture reduction. Based upon Flynn's criteria, 31 of 33 patients clinically assessed had a satisfactory result. Closed reduction with percutaneous pin fixation is believed to represent a safe, reliable, and efficient method of managing this difficult fracture.

引用

页码：705 / 711

页数：7

共 36 条

[1]

Anno A.L., Lluch E.E., Ramirez A.M., Ferrer J., Rodriguez L., Baixuli F., Percutaneous fixation of supracondylar fractures of the humerus in children, J Bone Joint Surg [Am], 59, pp. 914-916, (1977)

[2]

Baumann E., Beitrâge zur Kenntnis der Frakturen am Ellbo-gengelenk. Unter besonderer Berücksichtigung der Spâtfol-gen

[3]

Allgemeines und Fractura supra condylica, Beitr Z Klin Chir, 146, pp. 1-50, (1929)

[4]

Bosanquet J.S., Middleton R.W., The reduction of supracondylar fractures of the humerus in children treated by traction in extension, Injury, 14, pp. 373-380, (1983)

[5]

Buhl O., Hellberg S., Displaced supracondylar fractures of the humerus in children, Acta Ortho Scand, 53, pp. 67-71, (1982)

[6]

Dodge H.D., Displaced supracondylar fractures of the humerus in children, treatment by Dunlop’s traction, J Bone Joint Surg [Am], 54, pp. 1408-1418, (1972)

[7]

Dunlop J., Transcondylar fractures of the humerus in children, J Bone Joint Surg [Am], 21, pp. 59-73, (1939)

[8]

Elstrom J.A., Pankovich A.M., Kassab M.T., Irreducible supracondylar fractures of the humerus in children. A report of two cases, J Bone Joint Surg [Am], 57, pp. 680-681, (1975)

[9]

Flynn J.C., Matthews J.G., Benoit R.L., Blind pinning of displaced supracondylar fractures of the humerus in children. Sixteen years experience with long term follow-up, J Bone Joint Surg [Am], 56, pp. 263-272, (1974)

[10]

Fowles J.V., Kassab M.T., Displaced supracondylar fractures of the elbow in children, J Bone Joint Surg [Br], 56, pp. 490-500, (1974)

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