Schneider G, Pouliquen J C
Service d'Orthopédie et Traumatologie Pédiatriques, Hôpital Raymond Poincaré, Garches.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(7):456-63.
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.
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。
