Mehserle W L, Meehan P L
Emory University School of Medicine, Atlanta, Georgia.
J Pediatr Orthop. 1991 Nov-Dec;11(6):705-11. doi: 10.1097/01241398-199111000-00001.
Forty-five consecutive patients treated for displaced supracondylar fractures of the humerus, Type III, by means of closed reduction and percutaneous crossed-pin fixation, were studied retrospectively. Thirty-three were available at an average of 33 months post-injury for clinical and radiographic follow-up of the affected and nonaffected extremities. Five additional patients returned radiographs for analysis. Baumann's angle and a lateral humeral capitellar angle were assessed and found to be useful clinical guides for assessing the adequacy of maintenance of fracture reduction. Based upon Flynn's criteria, 31 of 33 patients clinically assessed had a satisfactory result. Closed reduction with percutaneous pin fixation is believed to represent a safe, reliable, and efficient method of managing this difficult fracture.
对45例采用闭合复位经皮交叉克氏针固定治疗的Ⅲ型肱骨髁上移位骨折患者进行回顾性研究。33例患者在受伤后平均33个月时接受了患侧和未患侧肢体的临床及影像学随访。另有5例患者返回了X线片进行分析。评估了鲍曼角和肱骨小头外侧角，发现它们是评估骨折复位维持是否充分的有用临床指标。根据弗林标准，33例接受临床评估的患者中有31例结果满意。闭合复位经皮穿针固定被认为是治疗这种复杂骨折的一种安全、可靠且有效的方法。
