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成人肱骨髁间T形骨折

Intercondylar T-fractures of the humerus in adults.

作者信息

Lansinger O, Måre K

出版信息

Arch Orthop Trauma Surg (1978). 1982;100(1):37-42. doi: 10.1007/BF00381541.

DOI:10.1007/BF00381541
PMID:7125874
Abstract

The intercondylar T-fractures of the distal humerus in adult are difficult fractures to manage and various recommendations for treatment have been presented. Thirty-nine patients with these fractures were treated as in-patients at the Departments of Orthopaedic Surgery in Gothenburg 1973-1977. Twenty-eight fractures were treated surgically and eleven conservatively. Best results were seen in patients treated with exact anatomical reduction and stable internal fixation. From this study we concluded that: A perfect reduction which is necessary for good final result is difficult to achieve with closed methods and most of these fractures should be treated by open reduction and stable internal fixation.

摘要

成人肱骨远端髁间T形骨折是治疗难度较大的骨折,针对其治疗已有多种建议。1973年至1977年期间,哥德堡骨科收治了39例此类骨折患者并将其作为住院病人治疗。28例骨折采用手术治疗,11例采用保守治疗。采用精确解剖复位和稳定内固定治疗的患者效果最佳。通过这项研究我们得出结论:对于取得良好最终效果所必需的完美复位,闭合方法很难实现,大多数此类骨折应采用切开复位和稳定内固定治疗。

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本文引用的文献

1
Supracondylar fractures of the humerus in adults.
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2
Fractures of the distal humerus in adults.成人肱骨远端骨折。
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Intercondylar T fractures of the humerus in the adult. A comparison of operative and non-operative treatment in twenty-nine cases.成人肱骨髁间T形骨折。29例手术与非手术治疗的比较。
J Bone Joint Surg Am. 1969 Jan;51(1):130-41.
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8
Results of operative treatment of intraarticular fractures of the distal humerus.肱骨远端关节内骨折的手术治疗结果
Acta Orthop Belg. 1975 Mar-Apr;41(2):227-34.
9
Classification and treatment of intercondyloid fractures of the humerus.肱骨髁间骨折的分类与治疗
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10
[Fractures of the humeral epiphysis in adults. Clinical study of 60 cases].[成人肱骨骨骺骨折。60例临床研究]
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