Rigal J, Thelen T, Angelliaume A, Pontailler J-R, Lefevre Y
Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
Service de chirurgie orthopédique pédiatrique, hôpital Pellegrin, CHU, place Amélie-Raba-Léon, 33076 Bordeaux, France.
Orthop Traumatol Surg Res. 2016 Feb;102(1):117-20. doi: 10.1016/j.otsr.2015.09.035. Epub 2015 Dec 29.
We present a new bone suture anchor technique for fractures of the medial epicondyle. The hypothesis was that the results would be similar to those with the divergent K-wire fixation. This retrospective study included 40 patients who presented with displaced fractures of the medial epicondyle: one group was treated with a Mitek(®) non-resorbable bone suture anchor (group A: n=21), the other by K-wire fixation (group B: n=19). A medial approach was taken with an anchor placed above the olecranon fossa. The epicondyle was then repositioned by bone suture. After a mean follow-up of 18.6 months, union was obtained in all epicondyles. There was no difference in flexion-extension of the elbow. The rate of hypertrophy of the medial epicondyle was similar in both groups (57%). The bone suture anchor of the medial epicondyle is an effective technique that does not require hardware removal and is an alternative treatment option to divergent K-wire fixation.
我们提出了一种用于治疗内上髁骨折的新型骨缝合锚技术。我们的假设是，其结果将与采用交叉克氏针固定的结果相似。这项回顾性研究纳入了40例出现内上髁移位骨折的患者：一组采用Mitek®不可吸收骨缝合锚进行治疗（A组：n = 21），另一组采用克氏针固定（B组：n = 19）。采用内侧入路，将锚置于鹰嘴窝上方。然后通过骨缝合对内上髁进行复位。平均随访18.6个月后，所有内上髁均实现愈合。两组患者的肘关节屈伸情况无差异。两组内上髁肥大率相似（57%）。内上髁骨缝合锚是一种有效的技术，无需取出内植物，是交叉克氏针固定的一种替代治疗选择。
