Prichasuk S
Department of Orthopaedics and Rehabilitation Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1992 Aug;75(8):492-4.
Most supracondylar fractures of the humerus can be treated by closed methods. Open reduction and internal fixation by wires or pins are indicated in a difficult fracture (Kekomaki et al 1984) or in vascular injury following the fracture. This fixation should be temporary and removed immediately upon obtaining the desired purpose. To increase surgeons awareness of inadvertently leaving the implant for too long, we are reporting an unusual complication of migration of the Kirschner wire resulting in late ulnar nerve injury.
大多数肱骨髁上骨折可采用闭合方法治疗。对于复杂骨折(Kekomaki等人,1984年)或骨折后伴有血管损伤的情况,需采用钢丝或钢针进行切开复位内固定。这种固定应是临时性的,一旦达到预期目的应立即取出。为提高外科医生对无意中将植入物留置过长时间的认识,我们报告一例克氏针移位导致迟发性尺神经损伤的罕见并发症。