Oppenheim W L, Clader T J, Smith C, Bayer M
Clin Orthop Relat Res. 1984 Sep(188):34-9.
Between 1958 and 1983, 45 corrective supracondylar osteotomies of the humerus were performed for post-traumatic cubitus varus deformity in 43 children. The average follow-up period was two and one-half years. Excellent or good results were obtained in 33 patients. Unsatisfactory results were seen in 12. The operation, though deceptively simple, had a significant complication rate (24%), including neuropraxia, sepsis, and cosmetically unacceptable scarring. After these problems were analyzed, the important points of technique that were noted were a comprehensive preoperative plan and a simple lateral closing wedge osteotomy, leaving the medial cortex intact and ignoring rotational deformity.
1958年至1983年间，对43例儿童创伤后肘内翻畸形实施了45例肱骨髁上截骨矫正术。平均随访期为两年半。33例患者获得了优良效果。12例效果不满意。该手术虽然看似简单，但其并发症发生率较高（24%），包括神经失用、感染以及美容效果不佳的瘢痕形成。在对这些问题进行分析后，注意到的重要技术要点包括全面的术前规划以及简单的外侧闭合楔形截骨，保留内侧皮质完整并忽略旋转畸形。
