Schüz W, Börner M
Unfallchirurgie. 1985 Feb;11(1):17-27. doi: 10.1007/BF02587923.
In the period from 1977 to 1982 78 children were treated for supracondylar fractures of the humerus at the Berufsgenossenschaftliche Unfallklinik Frankfurt/Main. Indications and methods for operative and conservative treatment are described. The results of therapy were reviewed by means of a questionnaire or reexamination in 68 patients with regard to function, elbow deformity and nerve lesions. Fractures of a grade I severity are to be treated conservatively by immobilisation in a POP-cast. Only in exceptional cases of grade II severity can a closed reduction be recommended. All remaining types of fractures of grade II and III severity should primarily be treated by open operations within 8 hours of the accident. Under these conditions the risk of infection is no higher than with percutaneous Kirschner-wire-osteosynthesis. Complications such as appreciable varus deformity, poor function and nerve lesions can largely be avoided in this way. The so-called extension-treatment offers no advantages in comparison with operative treatment.
1977年至1982年期间，78名儿童在法兰克福/美因河畔职业事故诊所接受了肱骨髁上骨折治疗。文中描述了手术治疗和保守治疗的适应症及方法。通过问卷调查或复查，对68例患者的治疗结果进行了评估，内容涉及功能、肘部畸形和神经损伤情况。I级严重程度的骨折应通过石膏固定进行保守治疗。仅在极少数II级严重程度的病例中，才建议进行闭合复位。其余所有II级和III级严重程度的骨折类型，均应在事故发生后8小时内首先进行开放手术治疗。在这些条件下，感染风险并不高于经皮克氏针内固定术。通过这种方式，诸如明显内翻畸形、功能不佳和神经损伤等并发症在很大程度上是可以避免的。与手术治疗相比，所谓的伸展治疗并无优势。
