Reigstad A, Hellum C
Injury. 1980 Sep;12(2):148-50. doi: 10.1016/0020-1383(80)90140-0.
Twenty-three patients with established contractures of the forearm, which were treated by excision of all irreparably damaged muscles, lengthening of the tendons and neurolysis of the median and ulnar nerves, are reported. Fourteen patients were children. Supracondylar fractures of the humerus, all treated by plaster-of-Paris, were associated with 10 contractures. Twelve patients achieved good or normal function of the hand after treatment; 5 had obvious functional disability, 4 achieved only a support function and 2 required forearm amputations. Early treatment improved the functional result. Treatment of displaced supracondylar fractures by traction seemed to be an important prophylactic procedure.
报告了23例前臂已形成挛缩的患者，这些患者接受了切除所有无法修复的受损肌肉、延长肌腱以及正中神经和尺神经松解术的治疗。其中14例为儿童。肱骨髁上骨折均采用石膏固定治疗，10例发生了挛缩。12例患者治疗后手部功能良好或恢复正常；5例有明显功能残疾，4例仅获得支撑功能，2例需要进行前臂截肢。早期治疗改善了功能结果。牵引治疗移位的肱骨髁上骨折似乎是一项重要的预防措施。
