Biyani A, Gupta S P, Sharma J C
Department of Orthopaedics, All Indian Institute of Medical Sciences, New Delhi.
Injury. 1989 Jul;20(4):203-7. doi: 10.1016/0020-1383(89)90112-5.
A total of 34 children with ipsilateral supracondylar fractures of the humerus and forearm were studied over an 8-year period. Of these, 19 patients had fractures of the distal quarter of the forearm bones while eight patients had a distal radial epiphyseal injury. Five of the patients had undisplaced supracondylar fractures. One patient had an anterior supracondylar fracture. All forearm fractures were treated by closed reduction. Nine displaced supracondylar fractures which could not be reduced by closed manipulation were treated by olecranon pin traction in two cases and by percutaneous pinning in seven cases. Excellent or good results were found in 29 children after an average follow-up of 3.8 years.
在8年的时间里，共研究了34例患有同侧肱骨髁上骨折和前臂骨折的儿童。其中，19例患者的前臂骨远端四分之一处骨折，8例患者有桡骨远端骨骺损伤。5例患者为无移位的髁上骨折。1例患者为髁上前侧骨折。所有前臂骨折均采用闭合复位治疗。9例闭合手法复位失败的移位髁上骨折中，2例采用鹰嘴骨牵引治疗，7例采用经皮穿针治疗。平均随访3.8年后，29例儿童获得了优良的治疗效果。
