Indiana Hand to Shoulder Center, Indianapolis, IN.
Department of Orthopaedics, University of North Carolina, Chapel Hill, Chapel Hill, NC.
J Orthop Trauma. 2019 Aug;33 Suppl 1:S7-S8. doi: 10.1097/BOT.0000000000001523.
Pediatric supracondylar humerus fractures are the most common type of fracture of the elbow in children. Treatment options for these fractures depend on the fracture type as well as the severity of the fracture; however, the standard of care is closed reduction and percutaneous pin fixation for Gartland type 2 and 3 fractures. Controversy exists regarding the ideal pin configuration, size, and number of pins for best stabilization. We present a technique video illustrating our method of lateral entry-pinning of a type 3 supracondylar humerus fracture using three 2.0-mm smooth pins.
儿童肱骨髁上骨折是儿童肘部最常见的骨折类型。这些骨折的治疗选择取决于骨折类型和骨折的严重程度；然而，对于 Gartland 类型 2 和 3 骨折，标准治疗方法是闭合复位和经皮克氏针固定。对于最佳固定效果的理想针构型、大小和数量存在争议。我们展示了一段技术视频，说明了我们使用三根 2.0 毫米光滑克氏针进行 3 型肱骨髁上骨折外侧进针固定的方法。
