Wilkins K E
University of Texas Health Science Center, San Antonio.
Orthop Clin North Am. 1990 Apr;21(2):291-314.
Residuals of trauma involving the distal humerus in children are mostly the result of delayed treatment or incomplete reduction of the fracture fragments. Cubitus varus after supracondylar fractures is primarily a cosmetic problem. Correction of this deformity is possible surgically but requires strict attention to detail because a high incidence of complications are associated with performance of a supracondylar osteotomy. Cubitus valgus, on the other hand, does have some functional problems. Thus, there is more of a functional reason to correct cubitus valgus deformities. The biologic complications of lateral condyle fractures such as lateral spur formation and the mild cubitus varus that occurs usually do not require surgical intervention. Those problems associated with techniques of treatment, such as a delayed open reduction, non-union, and angulation, again can be remedied surgically. Specific basic principles, as outlined in this article, however, must be followed to achieve success.
儿童肱骨远端创伤的后遗症大多是骨折碎片治疗延迟或复位不完全所致。髁上骨折后肘内翻主要是一个外观问题。这种畸形可以通过手术矫正，但需要严格注意细节，因为髁上截骨术的并发症发生率很高。另一方面，肘外翻确实存在一些功能问题。因此，矫正肘外翻畸形更有功能方面的原因。外侧髁骨折的生物学并发症，如外侧骨赘形成和通常出现的轻度肘内翻，通常不需要手术干预。那些与治疗技术相关的问题，如延迟切开复位、骨不连和成角，同样可以通过手术补救。然而，要取得成功，必须遵循本文概述的具体基本原则。
