Liu Chang-Heng, Kao Hsuan-Kai, Lee Wei-Chun, Yang Wen-E, Chang Chia-Hsieh
Department of Orthopaedics, Bone and Joint Research Center, Chang Gung Memorial Hospital and College of Medicine, Chang Gung University, Taoyuan, Taiwan.
J Pediatr Orthop B. 2016 Mar;25(2):153-8. doi: 10.1097/BPB.0000000000000246.
We proposed a simple posterolateral approach to the articular surface of the trochlea for fresh and late fractures of the humeral lateral condyle. Twenty consecutive cases, 16 fresh and four old fractures, were approached between triceps and anconeus before the age of 15 years. All fractures achieved union in 3 months. Nineteen cases were classified as excellent or good by the Hardacre score after 31.3 months of follow-up. One late fracture with elbow subluxation showed radiographic fragmentation of the capitellum and a fair clinical result. This simple optional approach offers good exposure of intra-articular fracture at the trochlea, especially for late fractures.
我们提出了一种针对肱骨外侧髁新鲜和陈旧性骨折的、用于滑车关节面的简单后外侧入路。在15岁之前，对20例连续病例采用三头肌和肘肌之间入路，其中16例为新鲜骨折，4例为陈旧性骨折。所有骨折均在3个月内愈合。随访31.3个月后，根据哈达克评分，19例被评为优或良。1例伴有肘关节半脱位的陈旧性骨折，X线显示肱骨小头碎裂，临床结果尚可。这种简单的选择性入路能很好地显露滑车的关节内骨折，尤其是对于陈旧性骨折。
