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儿童肱骨髁上移位骨折

Displaced supracondylar fractures of the humerus in children.

作者信息

Kramhøft M, Keller I L, Solgaard S

出版信息

Clin Orthop Relat Res. 1987 Aug(221):215-20.

PMID:3608302
Abstract

From 1972 to 1981, 60 children with severely displaced supracondylar fractures were treated with closed reduction and vertical osseous traction with a screw in the olecranon. None of the patients had complications (infection or neurovascular damage) due to the treatment, but eight patients had loss of reduction and required second reduction. The average hospitalization time was 2.6 weeks, and all fractures had united within four weeks. A follow-up study of 56 patients was performed an average of 78 months after the injury. All patients had an excellent (75%) or good (25%) end result. Vertical osseous traction is easy to apply and carries few risks of complications. The method is recommended, provided longer hospitalization time is acceptable or permissible.

摘要

1972年至1981年期间,对60例严重移位的髁上骨折患儿采用闭合复位及鹰嘴螺钉垂直骨牵引治疗。所有患者均未因治疗出现并发症(感染或神经血管损伤),但有8例患者复位丢失,需再次复位。平均住院时间为2.6周,所有骨折均在4周内愈合。对56例患者在受伤后平均78个月进行了随访研究。所有患者的最终结果均为优(75%)或良(25%)。垂直骨牵引操作简便,并发症风险小。如果较长的住院时间是可以接受或允许的,推荐使用该方法。

相似文献

1
Displaced supracondylar fractures of the humerus in children.儿童肱骨髁上移位骨折
Clin Orthop Relat Res. 1987 Aug(221):215-20.
2
Olecranon screw traction for displaced supracondylar fractures of the humerus in children.儿童肱骨髁上移位骨折的鹰嘴螺钉牵引
Injury. 1998 Jul;29(6):457-60. doi: 10.1016/s0020-1383(98)00087-4.
3
The severely displaced pediatric supracondylar fracture of humerus treated by skeletal traction with olecranon pin.采用鹰嘴骨牵引治疗小儿严重移位的肱骨髁上骨折。
Orthop Rev. 1986 Aug;15(8):510-5.
4
Supracondylar fractures of the humerus in children: treatment by overhead skeletal traction.
Orthop Rev. 1992 Apr;21(4):475-82.
5
Severely displaced supracondylar fractures of the humerus in children: a simple method of treatment.儿童肱骨髁上严重移位骨折:一种简单的治疗方法。
J Pediatr Orthop. 1987 Jan-Feb;7(1):49-53. doi: 10.1097/01241398-198701000-00010.
6
Displaced supracondylar fractures of the humerus in children treated by overhead olecranon traction.
Injury. 1984 Mar;15(5):316-21. doi: 10.1016/0020-1383(84)90054-8.
7
[Supracondylar fractures of the humerus in children].
Tidsskr Nor Laegeforen. 1991 Apr 20;111(10):1240-2.
8
Conservative treatment of displaced supracondylar humerus fractures of the extension type in children.儿童伸直型肱骨髁上骨折的保守治疗
Acta Orthop Belg. 1991;57(4):382-9.
9
Supracondylar fracture of the humerus in children.
J Bone Joint Surg Am. 1978 Jul;60(5):653-6.
10
'Straight lateral traction' in selected supracondylar fractures of the humerus in children.儿童肱骨髁上骨折中特定病例的“直外侧牵引”
Injury. 1977 Feb;8(3):213-20. doi: 10.1016/0020-1383(77)90134-6.

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