Rodriguez Merchan E C
Section of Orthopaedic Surgery, La Paz Traumatology and Orthopaedics Hospital, Madrid, Spain.
J Trauma. 1994 Nov;37(5):812-4. doi: 10.1097/00005373-199411000-00018.
Twenty-three children with displaced radial neck fractures were treated by percutaneous reduction with a Steinmann pin after closed reduction failed. Reduction was successfully accomplished in 20 patients. The average age at treatment was 10.5 years (range, 7-13 years). The average length of follow-up was 2.5 years (range, 1-6 years). According to the criteria of Steinberg et al., 14 children (70%) had a good result, three (15%) had a fair result, and three (15%) had a poor result. Percutaneous pin reduction of angulated and displaced radial neck fractures is a simple, safe alternative to open reduction. It appears that when radial head fractures are associated with severe displacement, a moderate rate of fair and poor results (30%) can be expected, despite treatment by percutaneous reduction with a Steinmann pin.
23例桡骨颈移位骨折患儿在闭合复位失败后采用斯氏针经皮复位治疗。20例患儿成功完成复位。治疗时的平均年龄为10.5岁（范围7 - 13岁）。平均随访时间为2.5年（范围1 - 6年）。根据斯坦伯格等人的标准，14例患儿（70%）效果良好，3例（15%）效果尚可，3例（15%）效果不佳。对于成角和移位的桡骨颈骨折，经皮穿针复位是一种简单、安全的切开复位替代方法。尽管采用斯氏针经皮复位治疗，但当桡骨头骨折伴有严重移位时，似乎仍可预期有一定比例（30%）的效果尚可和不佳情况。
