Jarvis J G, D'Astous J L
J Pediatr Orthop. 1984 Nov;4(6):697-9. doi: 10.1097/01241398-198411000-00008.
T-supracondylar fractures of the humerus occur rarely in children compared with the adult variety. Sixteen such fractures treated at the Children's Hospital of Eastern Ontario between 1975 and 1983 are described. There were nine male and seven female patients, 7-17 years old. All fractures were displaced, two were open, and one patient had an associated radial nerve palsy. All cases were managed by open reduction, internal fixation, and early mobilization. Follow-up revealed no cases of functional disability despite significant loss of motion in two patients. The conservative approach should be abandoned in these intraarticular injuries, and good operative results can be anticipated.
与成人肱骨髁上骨折相比，儿童肱骨髁上骨折很少见。本文描述了1975年至1983年间在安大略东部儿童医院治疗的16例此类骨折。患者共9名男性和7名女性，年龄在7至17岁之间。所有骨折均有移位，2例为开放性骨折，1例患者伴有桡神经麻痹。所有病例均采用切开复位、内固定和早期活动治疗。随访发现，尽管有2例患者活动度明显丧失，但无功能残疾病例。对于这些关节内损伤，应放弃保守治疗方法，并可预期获得良好的手术效果。
