Ma Y Z, Zheng C B, Zhou T L, Yeh Y C
Clin Orthop Relat Res. 1984 Mar(183):17-21.
Nine frontal fractures of the humeral capitellum treated by percutaneous probe reduction are reported. Most of the fractures were percutaneously reduced with a Steinmann pin inserted along the lateral border of the biceps tendon. To prevent redisplacement of the fragment, the elbow joint was first flexed more than 90 degrees with plaster immobilization for two weeks. The favorable results obtained with this method are due to reduced surgical trauma to local tissues and good reduction of the fracture. The percutaneous probe reduction should be considered for frontal fracture of the humeral capitellum before open reduction is performed.
报告了9例采用经皮探针复位治疗的肱骨小头额状骨折。大多数骨折通过沿肱二头肌腱外侧缘插入斯氏针进行经皮复位。为防止骨折块再次移位,肘关节先屈曲超过90度,用石膏固定两周。该方法取得良好效果的原因是对局部组织的手术创伤小且骨折复位良好。在进行切开复位之前,肱骨小头额状骨折应考虑采用经皮探针复位。