Mehdian H, McKee M D
Division of Orthopaedics, Department of Surgery, Upper Extremity Reconstructive Service, St Michael's Hospital and the University of Toronto, Toronto, Ontario, Canada.
Orthop Clin North Am. 2000 Jan;31(1):115-27. doi: 10.1016/s0030-5898(05)70132-2.
The principles of management of capitellar and trochlear fractures are similar to any other intra-articular fracture. Accurate anatomic reduction, rigid internal fixation, and early mobilization of the elbow are prerequisites for a good functional result. Small fragments with minimal subchondral bone, not amenable to rigid internal fixation, are best treated by surgical resection. This article outlines the diagnosis, treatment, controversies, postoperative results, and complications of these rare elbow fractures.
肱骨小头和滑车骨折的治疗原则与其他任何关节内骨折相似。准确的解剖复位、坚强的内固定以及早期的肘关节活动是获得良好功能结果的前提条件。对于那些软骨下骨极少、不适于坚强内固定的小骨折块，最好通过手术切除进行治疗。本文概述了这些罕见肘关节骨折的诊断、治疗、争议、术后结果及并发症。
