Benz G, Roth H
Unfallchirurgie. 1985 Jun;11(3):128-35. doi: 10.1007/BF02587946.
73 cases of elbow joint fractures were treated in our Dep. of Paediatric surgery over a period of 10 years. Most of the fractures in the region of the distal humerus are localized at the ulnar epicondyle and the radial condyle. At the proximal forearm the radial head and the radial collum fractures are dominant in respect to olecranon fractures. Only two cases involved a comminuted fracture of the distal humerus. Due to the fact that only a small number of cases involving a fracture of the radial epicondyle after a luxation of the elbow were registered, it is possible that we paid no attention to this kind of fractures. An early functional therapy in the case of segmental fracture of the radial head must be emphasized among the 11 cases with a conservative treatment. Another 3 cases with a radial head fracture, type Judet III, should be mentioned, because they were treated without reposition but were spontaneously redressed. The operation procedure and the late results by 62 patients are discussed with the results of other examiners. As expected the comminuted fractures of the distal humerus and the radial head had a bad prognosis. Functional relevant dislocations were rare. Only in one case after a conservative treatment of a lateral condyle fracture a development of a valgus position with a pseudarthrosis after a secondary dislocation was observed. In more than 90% of our cases we could achieve a complete anatomical reposition with good to very good functional results.
在10年的时间里，我们小儿外科共治疗了73例肘关节骨折。肱骨远端区域的大多数骨折位于尺骨髁和桡骨髁。在前臂近端，桡骨头和桡骨颈骨折比鹰嘴骨折更常见。只有2例涉及肱骨远端粉碎性骨折。由于登记的肘关节脱位后桡骨髁骨折病例数量较少，我们可能没有关注到这类骨折。在11例采用保守治疗的桡骨头节段性骨折病例中，必须强调早期功能治疗。另外3例桡骨头骨折（Judet III型）也应提及，因为它们未经复位但自行矫正。62例患者的手术过程和后期结果与其他检查者的结果进行了讨论。正如预期的那样，肱骨远端粉碎性骨折和桡骨头骨折预后较差。与功能相关的脱位很少见。仅在1例外侧髁骨折保守治疗后，继发脱位出现了外翻畸形并伴有假关节形成。在我们超过90%的病例中，能够实现完全解剖复位，功能结果良好至非常好。
