Lewis S L, Pozo J L, Muirhead-Allwood W F
Whittington Hospital, London, England.
J Bone Joint Surg Br. 1989 Jan;71(1):118-20. doi: 10.1302/0301-620X.71B1.2914979.
We reviewed seven patients with coronal fractures of the lateral femoral condyle and studied the mechanism of injury and the radiological features. The influence of soft tissue attachments on the displacement and the blood supply were investigated by clinical and cadaveric studies. All three fractures which were initially undisplaced lost position early during conservative management. Internal fixation gave good results at review, and is recommended to avoid the risk of malunion and possible secondary osteoarthritis.
我们回顾了7例外侧股骨髁冠状面骨折患者,研究了损伤机制和放射学特征。通过临床和尸体研究,探讨了软组织附着对骨折移位和血供的影响。所有3例最初无移位的骨折在保守治疗早期均发生了移位。复查时内固定效果良好,建议采用内固定以避免畸形愈合风险和可能继发的骨关节炎。