Mohammed S, Rymaszewski L A
Glasgow Royal Infirmary, Scotland, UK.
Injury. 1995 Sep;26(7):487-9. doi: 10.1016/0020-1383(95)93594-8.
An audit of 32 displaced supracondylar fractures of the humerus in children treated at the Glasgow Royal Infirmary between June 1990 and September 1992 was carried out. Six fractures were classified as Grade 2 (one cortex intact) and 26 were Grade 3 (no cortical contact). All grade 2 fractures were treated non-operatively with good results. Relatively poor results were obtained when displaced fractures were treated non-operatively with manipulation and plaster immobilization. Seven patients underwent manipulation and percutaneous pinning but two developed a cubitus varus deformity. Open reduction and internal fixation with two K-wires gave the best results with no deformity in ten patients. We therefore conclude that this is the optimal method of treatment in a hospital which deals with relatively few completely displaced fractures, with the cosmetic appearance of the scar being minimized by a medial approach.
对1990年6月至1992年9月间在格拉斯哥皇家医院接受治疗的32例儿童肱骨髁上移位骨折进行了一项审计。6例骨折被归类为2级（一侧皮质完整），26例为3级（无皮质接触）。所有2级骨折均采用非手术治疗，效果良好。手法复位及石膏固定治疗移位骨折时，效果相对较差。7例患者接受了手法复位及经皮穿针固定，但2例出现了肘内翻畸形。采用两根克氏针切开复位内固定效果最佳，10例患者未出现畸形。因此，我们得出结论，在处理相对较少的完全移位骨折的医院中，这是最佳的治疗方法，采用内侧入路可使瘢痕的外观影响最小化。
