Zagorski J B, Jennings J J, Burkhalter W E, Uribe J W
Clin Orthop Relat Res. 1986 Jan(202):197-204.
Forty-two comminuted intraarticular fractures of the humeral condyles treated between 1975 and 1981 were analyzed in order to compare the results of operative versus nonoperative management. Twenty-nine patients were treated by open reduction and internal fixation; the remainder were treated by nonoperative techniques. Functional results were evaluated by the method of Bickel and Perry. Of the patients treated by open reduction and internal fixation, 76% had an excellent or good result. Of the nonsurgically-treated patients, only eight percent had a satisfactory result. Anatomic restoration by open reduction and rigid internal fixation in conjunction with early motion was associated with satisfactory results. The preferred surgical exposure was a posterior "U" incision with extraarticular olecranon osteotomy. This provided good visualization and facilitated anatomic restoration in these complex fractures.
为比较手术治疗与非手术治疗的效果，对1975年至1981年间治疗的42例肱骨髁粉碎性关节内骨折进行了分析。29例患者接受切开复位内固定治疗；其余患者采用非手术技术治疗。采用比克尔（Bickel）和佩里（Perry）的方法评估功能结果。接受切开复位内固定治疗的患者中，76%的结果为优或良。在非手术治疗的患者中，只有8%的结果令人满意。切开复位、坚强内固定并结合早期活动实现解剖复位，可带来满意的结果。首选的手术入路是经关节外尺骨鹰嘴截骨的后“U”形切口。这能提供良好的视野，并有助于这些复杂骨折的解剖复位。
