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肱骨小头骨折的诊断与治疗

[Diagnosis and therapy of capitulum humeri fractures].

作者信息

Müller H A, Schild H

出版信息

Unfallchirurgie. 1983 Apr;9(2):59-70.

PMID:6857845
Abstract

Report of four cases of fracture of capitulum humeri treated by operation. The necessity of an exact preoperative radiological diagnostic work-up including lateral tomography of the elbow is pointed out. It is described how difficulties occurring during and after surgery can be avoided by choice of an adequate approach and a suitable internal fixation. Presented is the radio-volar approach and temporary fragment fixation with K-wires from ventral to dorsal. Three cases treated in a similar way show the efficiency of the procedure.

摘要

肱骨小头骨折手术治疗四例报告。指出术前进行精确的放射学诊断检查的必要性,包括肘部侧位断层扫描。阐述了如何通过选择合适的手术入路和合适的内固定来避免手术中和手术后出现的困难。介绍了桡掌侧入路以及用克氏针从掌侧到背侧进行临时碎骨片固定。以类似方式治疗的三例病例显示了该手术方法的有效性。

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