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[儿童肱骨髁上骨折,采用布朗特方法的治疗及结果]

[Supracondylar humerus fracture in childhood, its treatment and results following Blount's method].

作者信息

Dallek M, Mommsen U, Jungbluth K H, Kahl H J

出版信息

Unfallchirurgie. 1985 Aug;11(4):192-6. doi: 10.1007/BF02587959.

Abstract

From 1970 to 1980 155 supracondylar fractures of the humerus in children were treated conservatively by the method of Blount and 33 were treated surgically. The indications for operation were flexion-fractures, second- or third-grade compound fractures, vessel or nerve lesions and for easier nursing of polytraumatized patients. Out of 82 fractures treated by collar and cuff 64 (78%) show an ideal, 12 (15%) a good and 6 (7%) a satisfactory result two to ten years after the accident. In 18 cases one could see a defective varus function of more than five degrees.

摘要

1970年至1980年期间,155例儿童肱骨髁上骨折采用布朗特方法进行保守治疗,33例接受了手术治疗。手术指征为屈曲型骨折、二级或三级开放性骨折、血管或神经损伤以及为便于对多发伤患者进行护理。在采用颈腕吊带治疗的82例骨折中,事故发生两至十年后,64例(78%)效果理想,12例(15%)良好,6例(7%)满意。18例可见内翻功能缺陷超过5度。

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