Altay Mehmet A, Erturk Cemil, Isikan Ugur E
Department of Orthopaedic Surgery, Faculty of Medicine, Harran University, Sanliurfa 63100, Turkey.
Saudi Med J. 2010 Jul;31(7):793-6.
To evaluate the outcomes of traditional medial-lateral and Dorgan's lateral cross-wiring of supracondylar humerus fractures in children.
In our retrospective study, we evaluated 51 children in the Department of Orthopedic Surgery, Harran University Medical Faculty, Sanliurfa, Turkey between February 2005 and January 2009. Group 1 (traditional) included 25 (16 male and 9 female, mean age 6.5 +/- 3.3 years) and group 2 (Dorgan's lateral) included 26 (19 male and 7 female, mean age 7.1 +/- 2.8 years) patients. Functional and cosmetic results were evaluated according to Flynn et al's criteria. Preoperative and postoperative neurologic examination was performed. The mean follow-up periods were 18.4 +/- 1.7 months in group 1 and 16.3 +/- 1.7 months in group 2.
The neurologic, functional, and cosmetic results of 51 patients were reviewed. There were no statistically significant differences found between the groups for gender, age, follow-up periods, fracture types, neurological or function, and cosmetic results. Although postoperative iatrogenic ulnar nerve injuries occurred in 2 (8%) patients treated with the traditional medial-lateral (group 1) cross-wiring technique, no nerve injury occurred in the Dorgan's lateral group (group 2).
We recommend Dorgan's lateral cross-wiring technique as it is as effective as the traditional medial-lateral cross-wiring technique, and prevents iatrogenic ulnar nerve injuries.
评估儿童肱骨髁上骨折传统内外侧及多根外侧交叉穿线法的治疗效果。
在我们的回顾性研究中，评估了2005年2月至2009年1月间土耳其哈兰大学医学院骨科的51名儿童。第1组（传统组）包括25例患者（16例男性，9例女性，平均年龄6.5±3.3岁），第2组（多根外侧组）包括26例患者（19例男性，7例女性，平均年龄7.1±2.8岁）。根据弗林等人的标准评估功能和外观结果。进行术前和术后神经学检查。第1组的平均随访时间为18.4±1.7个月，第2组为16.3±1.7个月。
对51例患者的神经学、功能和外观结果进行了评估。两组在性别、年龄、随访时间、骨折类型、神经学或功能以及外观结果方面均未发现统计学上的显著差异。虽然采用传统内外侧（第1组）交叉穿线技术治疗的2例（8%）患者术后发生了医源性尺神经损伤，但多根外侧组（第2组）未发生神经损伤。
我们推荐多根外侧交叉穿线技术，因为它与传统内外侧交叉穿线技术一样有效，且可预防医源性尺神经损伤。
