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治疗儿童陈旧性肱骨外侧髁骨折的一种新手术技术。

A new surgical technique for old ununited lateral condyle fractures of the humerus in children.

作者信息

Gaur S C, Varma A N, Swarup A

机构信息

Department of Orthopaedics, M.L.N. Medical College, Allahabad, India.

出版信息

J Trauma. 1993 Jan;34(1):68-9. doi: 10.1097/00005373-199301000-00012.

Abstract

It is difficult to achieve an anatomic reduction of old lateral condyle humeral fractures in spite of extensive excision of fibrous tissues from the condylar fragment. The long-standing displaced position of the condyle is responsible for the contracture of the origin of the common extensor tendon, which prevents anatomic reduction. In our technique, lengthening of the common extensor origin was done and anatomic reduction achieved. This technique has been tried successfully in 15 cases of neglected fractures of lateral humeral condyles in children.

摘要

尽管从肱骨髁碎片上广泛切除纤维组织,但仍难以实现陈旧性肱骨外侧髁骨折的解剖复位。髁长期的移位位置导致了伸肌总腱起点的挛缩,从而阻碍了解剖复位。在我们的技术中,进行了伸肌总腱起点延长并实现了解剖复位。该技术已在15例儿童肱骨外侧髁陈旧性骨折中成功试用。

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