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儿童肱骨外侧髁(肱骨小头骨)陈旧性骨折

[Old fractures of the lateral humeral condyle (lateralis capitellum humeri) in children].

作者信息

Schneider G, Pouliquen J C

机构信息

Service d'Orthopédie et Traumatologie Pédiatriques, Hôpital Raymond Poincaré, Garches.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1992;78(7):456-63.

PMID:1306580
Abstract

The authors report their experience of 19 cases of non recent fractures of the lateral humeral condyle in children. The delay from the initial trauma to the first clinic was: minimum, 45 days (this delay defines a non recent fracture), maximum 7 years. 18 patients sustained an operation, 15 non-unions and 3 malunions; 1 patient was not operated on. The mean follow-up was about 5 years. The authors have determined two groups of patients according to the delay of treatment, less or more than 6 months. In the first group, 13 procedures out 14 allowed fusion of the condyle without necrosis. In the second group, the severe malalignments of the elbow required a varus or a valgus osteotomy.

摘要

作者报告了他们治疗19例儿童肱骨外侧髁陈旧性骨折的经验。从最初受伤到首次就诊的延迟时间为:最短45天(此延迟时间定义为陈旧性骨折),最长7年。18例患者接受了手术,其中15例为骨不连,3例为畸形愈合;1例患者未接受手术。平均随访时间约为5年。作者根据治疗延迟时间将患者分为两组,即治疗延迟时间少于或多于6个月。在第一组中,14例手术中有13例实现了髁部融合且无坏死。在第二组中,肘部严重的畸形排列需要进行内翻或外翻截骨术。

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