Kayali Cemil, Ağuş Haluk, Sanli Coşkun
Department of Orthopedics and Traumatology (2. Ortopedi ve Travmatoloji Kliniği), SSK Tepecik Training Hospital, 35380 Izmir, Turkey.
Acta Orthop Traumatol Turc. 2002;36(2):117-23.
To evaluate the results of treatment with early reduction and internal fixation for simultaneous ipsilateral distal humerus and forearm fractures in children.
The study included six patients (1 girl, 5 boys; mean age 11.5 years; range 9 to 13 years) who underwent treatment for ipsilateral humerus distal and forearm fractures. Reduction and fixation of fractures were performed percutaneously or by mini-open incisions. At the end of the follow-up period, patients were evaluated according to the Flynn's criteria. Radiologic and functional results on the involved side were compared with that of the normal. The mean follow-up period was 35 months (range 24 to 52 months).
According to the Flynn's criteria, radiologic outcome was perfect in four patients (67%), and good in two (33%); functional results were perfect in three (50%), and good in three patients (50%). There were no significant differences between the two extremities with respect to elbow and wrist range of motion and radiologic parameters of the elbows.
Early anatomic realignment of soft tissues and early active rehabilitation in simultaneous ipsilateral fractures of the distal humerus and forearm are significant factors for a satisfactory outcome. Treatment with early reduction and internal fixation with minimal soft tissue damage seems to be the method of choice in these fractures.
评估儿童同侧肱骨远端和前臂骨折早期复位及内固定的治疗效果。
该研究纳入了6例同侧肱骨远端和前臂骨折接受治疗的患者（1名女孩，5名男孩；平均年龄11.5岁；范围9至13岁）。骨折通过经皮或小切口切开进行复位和固定。随访期末，根据弗林（Flynn）标准对患者进行评估。将患侧的放射学和功能结果与正常侧进行比较。平均随访期为35个月（范围24至52个月）。
根据弗林标准，4例患者（67%）放射学结果完美，2例（33%）良好；3例（50%）功能结果完美，3例（50%）良好。两侧在肘关节和腕关节活动范围以及肘关节放射学参数方面无显著差异。
同侧肱骨远端和前臂同时骨折时，早期对软组织进行解剖复位和早期积极康复是获得满意疗效的重要因素。早期复位并进行软组织损伤最小的内固定治疗似乎是这些骨折的首选方法。
