Weiland A J, Meyer S, Tolo V T, Berg H L, Mueller J
J Bone Joint Surg Am. 1978 Jul;60(5):657-61.
Long-term review of fifty-two displaced supracondylar humeral fractures in children treated by open reduction and crossed Kirschner-wire fixation demonstrated functional results similar to those obtained by closed methods, but fewer and milder cases of cubitus varus deformity (only 25 per cent of patients). The deformity appeared to result from faulty reduction with medial angulation of the distal fragment. Surgical treatment of these fractures may offer, as its principal advantages: reduced hospitalization time, fewer sequelae, more stable fixation, and slightly better anatomical results. No infections or other specific complications (such as myositis ossificans or Volkmann's contracture) were encountered.
对52例采用切开复位交叉克氏针固定治疗的儿童肱骨髁上移位骨折进行长期随访，结果显示其功能恢复情况与闭合治疗方法相似，但肘内翻畸形的病例较少且程度较轻（仅占患者的25%）。畸形似乎是由于远端骨折块向内侧成角的复位不良所致。这些骨折的手术治疗可能具有以下主要优点：缩短住院时间、减少后遗症、固定更稳定以及解剖复位效果稍好。未出现感染或其他特定并发症（如骨化性肌炎或Volkmann挛缩）。
