Zdun H, Kanchanlall W
Poradni Ortopedycznej Wojewódzkiego Szpitala Zespolonego w Lesznie.
Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):495-9.
In the group of 31 patients treated by immobilization of the forearm we observed 71% of secondary dislocations and in group of 46 with the full-arm plaster 65% of secondary dislocation occurred. In the group of 20 patients with the full-arm plaster and the X-ray done between the 7th and 10th day after reduction to correct possible dislocation, followed always by the new, similar plaster cast, we observed 40% of secondary dislocations. Whenever the full-arm plaster was used Sudeck syndrome was observed very rarely. No direct relationship between kind of plaster used and the degree of shortening of the radius length after healing of the fracture was found. Comminuted fractures and osteoporosis are in favour for secondary dislocations.
在前臂固定治疗的31例患者组中，我们观察到71%发生了继发性脱位；在全臂石膏固定的46例患者组中，65%发生了继发性脱位。在全臂石膏固定且复位后第7至10天进行X线检查以纠正可能脱位的20例患者组中（随后总是更换新的类似石膏），我们观察到40%发生了继发性脱位。无论何时使用全臂石膏，很少观察到苏戴克综合征。未发现所使用石膏类型与骨折愈合后桡骨长度缩短程度之间存在直接关系。粉碎性骨折和骨质疏松症易导致继发性脱位。
