Tabak A Y, Celebi L, Muratli H H, Yağmurlu M F, Aktekin C N, Biçimoglu A
Third Department of Orthopaedics and Traumatology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
J Bone Joint Surg Br. 2003 Nov;85(8):1169-72. doi: 10.1302/0301-620x.85b8.14015.
We treated 22 children with a supracondylar fracture of the humerus and an ipsilateral fracture of the forearm by closed reduction and percutaneous fixation. There were four Gartland type-II and 18 Gartland type-III supracondylar fractures of the humerus. There were fractures of both bones of the forearm in 16 and of the radius in six. Both the supracondylar and the distal forearm fractures were treated by closed reduction and percutaneous fixation. The mean follow-up time was 38.6 months. At the latest follow-up there were 21 excellent or good results and one fair result. There were no cases of delayed union, nonunion or malunion. Five nerve injuries were diagnosed on admission and all recovered spontaneously within eight weeks. No patient developed a compartment syndrome.
我们对22例肱骨髁上骨折合并同侧前臂骨折的儿童进行了闭合复位经皮固定治疗。其中肱骨髁上骨折Gartland II型4例，Gartland III型18例。前臂双骨折16例，单纯桡骨骨折6例。肱骨髁上骨折和前臂远端骨折均采用闭合复位经皮固定治疗。平均随访时间为38.6个月。在最近一次随访时，结果为优或良的有21例，一般的1例。无延迟愈合、不愈合或畸形愈合病例。入院时诊断出5例神经损伤，均在8周内自行恢复。无患者发生骨筋膜室综合征。
