Clavert J M, Lecerf C, Mathieu J C, Buck P
Rev Chir Orthop Reparatrice Appar Mot. 1984;70(2):109-16.
The authors analyse the results obtained in 120 cases of supracondylar fracture of the humerus in children by reduction under general anaesthesia followed by fixation of the elbow in flexion, the wrist being placed close to the neck. The biomechanical basis of this technique is reviewed. It is essential that the posterior periosteum should be intact. Technical details are given together with indications. Seventy out of 120 fractures were reviewed after 2 years. There were 82 p. 100 of good results in grade II fractures. Six out of 24 grade IV fractures showed secondary displacement.
作者分析了120例儿童肱骨髁上骨折在全身麻醉下复位、然后将肘部固定于屈曲位且使腕部靠近颈部的治疗结果。回顾了该技术的生物力学基础。后骨膜保持完整至关重要。给出了技术细节及适应证。120例骨折中有70例在2年后进行了复查。Ⅱ级骨折的优良率为82%。24例Ⅳ级骨折中有6例出现了继发性移位。
