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卡潘迪辅助闭合复位及经皮克氏针固定治疗青少年肱骨近端骨折:技术说明

Kapandji-assisted Closed Reduction and Percutaneous K-wire Fixation for Proximal Humerus Fractures in Adolescents: A Technical Note.

作者信息

Turazza Florencia, Zimmermann Faggion Heloisa, Masquijo Julio Javier

机构信息

Departamento de Ortopedia Infantil, Sanatorio Allende, Córdoba, Argentina.

Hospital do Trabalhador, Curitiba, PR, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Aug 1;59(5):e789-e792. doi: 10.1055/s-0044-1787549. eCollection 2024 Oct.

Abstract

Proximal humerus fractures account for approximately 3 to 5% of all pediatric-adolescent fractures, with a higher incidence observed in older children, particularly between the ages of 10 and 15 years. Non-displaced or minimally displaced fractures can often be treated conservatively. However, the management of displaced or unstable proximal humerus fractures in adolescents may involve surgical intervention, with closed reduction and percutaneous pinning (CRPP) being commonly employed techniques. Closed reduction and percutaneous pinning is not without its challenges and potential difficulties. This article aims to describe a technique that can facilitate CRPP and minimize complications associated with this surgical approach.

摘要

肱骨近端骨折约占所有儿童青少年骨折的3%至5%,在大龄儿童中发病率更高,尤其是10至15岁的儿童。无移位或轻度移位骨折通常可采用保守治疗。然而,青少年移位或不稳定的肱骨近端骨折的治疗可能需要手术干预,闭合复位经皮穿针固定(CRPP)是常用的技术。闭合复位经皮穿针固定并非没有挑战和潜在困难。本文旨在描述一种可促进CRPP并将与该手术方法相关的并发症降至最低的技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ca/11624935/a8a4862e74c9/10-1055-s-0044-1787549-i2300127en-1.jpg

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