Daunois O, Blamoutier A, Ducloyer P, Carlioz H
Service de Chirurgie Orthopédique, Hôpital Trousseau, Paris.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(5):333-9.
We report 20 cases of ipsilateral supracondylar elbow fracture and forearm fracture in childhood. The mean follow-up was 20 months. For an analysis of the results, we used a global rotation of the upper limb. We appreciated the motion and the carrying angle of the elbow and the wrist. 15 cases were very good or good; there were 4 cubitus varus without functional impairment and 1 failure after one open Monteggia fracture. The therapeutic strategy is discussed. If one does not want to increase the damage to periosteum in the elbow during the forearm reduction, one must first reduce the supracondylar fracture and fix it by 2 pins like in Judet procedure. Then, the forearm fracture should be treated conservatively.
我们报告了20例儿童同侧肱骨髁上骨折和前臂骨折。平均随访时间为20个月。为了分析结果，我们采用了上肢整体旋转的方法。我们评估了肘部和腕部的活动度及提携角。15例效果非常好或良好；有4例出现肘内翻但无功能障碍，1例开放性孟氏骨折复位后失败。文中讨论了治疗策略。如果在整复前臂骨折时不想增加肘部骨膜的损伤，必须先整复髁上骨折并像朱代特（Judet）手术那样用两根克氏针固定。然后，前臂骨折应采取保守治疗。
