Kasser J R, Richards K, Millis M
Children's Hospital, Boston, MA 02115.
J Pediatr Orthop. 1990 Jan-Feb;10(1):93-6.
Triceps function and elbow motion were evaluated in nine elbows after open reduction of complex distal humeral fractures through a triceps dividing approach. At 3-year 6-month follow-up, the patients had an average flexion/extension of 136 degrees to -6 degrees. Triceps peak torque decreased slightly, measured by Cybex testing with a 6% deficit at 60 degrees/s, 3% deficit at 120 degrees/s, and 3% deficit at 180 degrees/s. We recommend triceps division rather than olecranon osteotomy in children who require open reduction of complex distal humeral fractures.
通过肱三头肌劈开入路对复杂肱骨远端骨折进行切开复位后，对9例患者的肘关节进行了肱三头肌功能和活动度评估。在3年6个月的随访中，患者的平均屈伸活动度为136度至-6度。通过Cybex测试，肱三头肌峰值扭矩略有下降，在60度/秒时下降6%，在120度/秒时下降3%，在180度/秒时下降3%。对于需要切开复位复杂肱骨远端骨折的儿童，我们建议采用肱三头肌劈开而非尺骨鹰嘴截骨术。
