Ochner R S, Bloom H, Palumbo R C, Coyle M P
Division of Orthopaedic Surgery, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.
J Trauma. 1996 Feb;40(2):199-203. doi: 10.1097/00005373-199602000-00005.
Closed reductions of displaced coronal fractures of the capitellum were successfully obtained for nine patients. The method involves spontaneous reduction by allowing the elbow to fully extend under anesthesia and then gradually flexing the elbow while distracting the elbow joint. Distraction allows the radial head to capture the capitellar fragment in the joint rather than push it proximally. The elbow is immobilized at 90 degrees for 3 weeks. Gentle active motion is then started. Closed reduction is often or usually obtained, but open reduction and internal fixation are performed in those cases in which a closed reduction cannot be obtained.
9例患者成功实现了肱骨小头移位冠状面骨折的闭合复位。该方法包括在麻醉下让肘部充分伸展以实现自然复位，然后在牵引肘关节的同时逐渐屈曲肘部。牵引可使桡骨头在关节内捕捉肱骨小头骨折块，而不是将其向近端推移。肘部固定于90度位3周。然后开始轻柔的主动活动。闭合复位通常能够实现，但在无法实现闭合复位的情况下则需行切开复位内固定术。
