Rejholec M
Al-Razi Hospital, P.O. Box 4235, 13043 Safat, Kuwait-Arabian Gulf.
Sb Lek. 1999;100(4):279-86.
The supracondylar fracture of the humerus is one of the most common in children, approximately one hundred per year, in Kuwait. The treatment consists in manipulation and fixation by plaster of Paris in the most stable position, usually maximal possible flexion in the elbow joint. For irreducible or unstable cases a percutaneous fixation by Kirschner wires was introduced in September 1993. Two or three Kirschner wires were used either parallel from radial condyle or cross fixation from ulnar and radial condyle. Cross fixation was used in older children without swelling of the elbow. This method has helped to reduce and stabilize the fracture allowing fixation of the elbow at 90 degrees flexion reducing the risk of the blood supply disturbance. The aim of this study was to find rules for proper selection of these two types of fixation.
肱骨髁上骨折是儿童中最常见的骨折之一，在科威特每年约有100例。治疗方法是在最稳定的位置通过巴黎石膏进行手法复位和固定，通常是使肘关节尽可能最大程度地屈曲。对于不可复位或不稳定的病例，1993年9月引入了克氏针经皮固定。使用两根或三根克氏针，可从桡侧髁平行插入，或从尺侧髁和桡侧髁交叉固定。交叉固定用于肘部无肿胀的大龄儿童。这种方法有助于复位和稳定骨折，使肘关节固定在90度屈曲位，降低了血供受干扰的风险。本研究的目的是找出正确选择这两种固定方式的规则。
