Matsuzaki K, Nakatani N, Harada M, Tamaki T
Department of Orthopaedic Surgery, Wakayama Medical University, Japan.
J Bone Joint Surg Br. 2004 Mar;86(2):232-8. doi: 10.1302/0301-620x.86b2.13774.
In 1980, we developed a specially designed brace for treating supracondylar fractures of the humerus in children, along with an easy and safe technique of reduction by skeletal traction. This method, which takes into consideration only the medial tilting and anterior angulation of the distal fragment, achieves complete reduction, ignoring any lateral, posterior and minor rotational displacements of the fragment. Skeletal traction is applied through a screw inserted into the olecranon and the angulation at the fracture site is reduced regardless of the anatomical position without manipulation. We treated 193 children with displaced supracondylar fractures of the humerus using this method between 1980 and 2001. Only four children (2%) developed cubitus varus. The majority obtained an excellent range of movement at the elbow; one had a 25 degree limitation of flexion. This technique is an effective and easy method of treating supracondylar fractures of the humerus in children.
1980年，我们研发了一种专门设计的支具用于治疗儿童肱骨髁上骨折，同时还开发了一种简单安全的骨骼牵引复位技术。该方法仅考虑远端骨折块的内倾和前成角，实现了完全复位，而忽略了骨折块的任何外侧、后侧及轻微旋转移位。通过插入鹰嘴的螺钉进行骨骼牵引，无需手法操作，无论解剖位置如何，骨折部位的成角均可得到纠正。1980年至2001年间，我们使用该方法治疗了193例儿童肱骨髁上移位骨折。仅有4名儿童（2%）出现肘内翻。大多数患儿肘部活动范围极佳；1例有25度的屈曲受限。该技术是治疗儿童肱骨髁上骨折的一种有效且简便的方法。
