Srivastava S
Hospital Muar, Johor.
Med J Malaysia. 2000 Sep;55 Suppl C:44-8.
The treatment of displaced supracondylar fracture humerus (Gartland Type III) in children continues to be a challenging problem. We did a retrospective study of such fractures treated in Hospital Muar, over a 2 years period (from January 1998 to December 1999). A total of 42 cases with displaced supracondylar fractures, treated with open reduction and internal fixation were studied. All cases were operated using a posterior triceps splitting approach and crossed kirschner wires were used to stabilize the fracture site. An excellent outcome was seen in 34 patients (81%) and a good outcome in 7 patients (17%). The incidence of complications such as pin tract infection (14%), nerve injury (2%) was very low. None of the patients had vascular complications or myositis ossificans.
儿童肱骨髁上移位骨折（GartlandⅢ型）的治疗仍然是一个具有挑战性的问题。我们对麻坡医院在两年期间（1998年1月至1999年12月）治疗的此类骨折进行了回顾性研究。共研究了42例采用切开复位内固定治疗的肱骨髁上移位骨折病例。所有病例均采用肱三头肌后入路劈开法进行手术，并使用交叉克氏针固定骨折部位。34例患者（81%）预后极佳，7例患者（17%）预后良好。诸如针道感染（14%）、神经损伤（2%）等并发症的发生率非常低。所有患者均未发生血管并发症或骨化性肌炎。
