Bairov G A, Gorelyĭ V V, Iarashev T Ia
Vestn Khir Im I I Grek. 1987 Oct;139(10):78-81.
Clinico-roentgenological signs of dislocations of both forearm bones complicated by abruption of epicondyles were diagnosed in 260 children. Indications for closed percutaneous short-term metallic osteosynthesis were developed and used in 76 patients (29.23%). Indications for percutaneous metallic osteosynthesis were as follows: 1) displacement of a fragment in the sagittal, frontal plane or to below more than 5 mm and rotation of the fragment more than 30 degrees (in 41 patients); 2) failure of closed reposition (in 21 patients); 3) vast hematomas, edemas of soft tissues (14 patients).
260名儿童被诊断出双前臂骨脱位并伴有髁上骨折的临床X线征象。制定并在76例患者(29.23%)中使用了闭合经皮短期金属内固定的适应证。经皮金属内固定的适应证如下:1)碎片在矢状面、额状面或向下移位超过5毫米,且碎片旋转超过30度(41例患者);2)闭合复位失败(21例患者);3)广泛血肿、软组织水肿(14例患者)。