CLINICAL-EVALUATION OF CROSSED-PIN VERSUS LATERAL-PIN FIXATION IN DISPLACED SUPRACONDYLAR HUMERUS FRACTURES

被引：106

作者：

TOPPING, RE ^{[1
]}

BLANCO, JS ^{[1
]}

DAVIS, TJ ^{[1
]}

机构：

[1] UNIV VIRGINIA,HLTH SCI CTR,DEPT ORTHOPED SURG,CHARLOTTESVILLE,VA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 04期

关键词：

CLOSED REDUCTION; PIN FIXATION; SUPRACONDYLAR HUMERUS FRACTURES;

D O I：

10.1097/01241398-199507000-00004

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：

The radiographs and patient charts of 47 children treated with closed reduction and percutaneous pin fixation of displaced supracondylar humerus fractures were reviewed. Twenty-seven fractures were fixed with crossed medial and lateral pins. Twenty fractures were treated with two parallel laterally placed pins. Baumann's angle on the anteroposterior elbow film and the humerocapitellar angle on the lateral elbow film were independently measured by the three authors on initial postoperative films and on films taken at the time of pin removal. No statistically significant differences regarding maintenance of reduction were found when comparing the two fixation groups. There were two complications in the medial pin group (one cubitus varus and one ulnar nerve injury) and none in the lateral-pin group. We conclude that crossed-pin fixation offers no clinically significant advantage over two laterally placed pins in the treatment of supracondylar humerus fractures.

引用

页码：435 / 439

页数：5

共 19 条

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