Cao Jin, Zhong Zhao-ping, Zhou Long, Xu Rong-ming, Chen Qiu, Pen Lin-rui, Ren Rong
Department of Orthopaedics, Ningbo No.6 Hospital, Ningbo 315040, Zhejiasmg, China.
Zhongguo Gu Shang. 2008 Oct;21(10):780-2.
To expore the prevention of ulnar nerve injury during fixation of supracondylar fracture in children by a medial-lateral three-pin fixation technique.
Eighty-one patients including 54 boys and 27 girls with average age of 6 years old (2.5 to 11 years)were treated by a three-pin fixation technique with insertion of two Kirscher wires from the lateral side and the third wire through the medial side. They were followed-up without any complications related to the ulnar nerve. According to Garland system, there were 25 cases of type II supracondylar fracture and 56 of type III. All patients were treated by a medial-lateral three-pin fixation technique, and external fixation with plaster for 3 weeks.
All cases achieved immediate stability and long-term bony fusion postoperatively and no iatrogenic ulnar nerve injury happen.
The technique is a stable and reliable methods for unstable supracondylar fracture and the iatrogenic injury ulnar nerve can be avoided completely.
探讨采用内外侧三枚钢针固定技术预防儿童髁上骨折固定过程中尺神经损伤的方法。
81例患者，其中男54例，女27例，平均年龄6岁（2.5至11岁），采用从外侧插入两根克氏针、从内侧插入第三根钢针的三枚钢针固定技术进行治疗。对其进行随访，未出现与尺神经相关的任何并发症。根据加兰系统，Ⅱ型髁上骨折25例，Ⅲ型56例。所有患者均采用内外侧三枚钢针固定技术，并石膏外固定3周。
所有病例术后均立即获得稳定，长期骨愈合，未发生医源性尺神经损伤。
该技术是治疗不稳定髁上骨折的一种稳定可靠的方法，可完全避免医源性尺神经损伤。
