Shimada K, Masada K, Tada K, Yamamoto T
Osaka Koseinenkin Hospital, Japan.
J Bone Joint Surg Am. 1997 Feb;79(2):234-40. doi: 10.2106/00004623-199702000-00011.
We reviewed the results of osteosynthesis for the treatment of an established non-union of the lateral humeral condyle in sixteen children whose average age was nine years (range, four to thirteen years) at the time of the operation. The average interval between the injury and the operation was five years (range, five months to ten years). The presenting symptoms were pain in the elbow in seven patients, apprehension in nine, a cubitus valgus deformity in six, limitation of motion in three, and dysfunction of the ulnar nerve in four. The average duration of follow-up was eleven years (range, four to thirty-two years). Osseous union was achieved after the initial operation in thirteen patients. Of the three patients who had a persistent non-union, two had a second operation and the third, who was asymptomatic, refused additional operative intervention. The result was rated excellent in eight patients, good in seven, and poor in one, with use of a modification of the functional rating index of Broberg and Morrey. The patient who had a poor result had evidence of avascular necrosis of the fragment.
我们回顾了16例儿童肱骨外侧髁陈旧性骨不连的接骨治疗结果。这些儿童手术时的平均年龄为9岁（范围4至13岁）。受伤至手术的平均间隔时间为5年（范围5个月至10年）。出现的症状包括7例肘部疼痛、9例担忧、6例肘外翻畸形、3例活动受限以及4例尺神经功能障碍。平均随访时间为11年（范围4至32年）。13例患者在初次手术后实现了骨愈合。3例持续骨不连的患者中，2例接受了二次手术，第3例无症状，拒绝了进一步的手术干预。采用Broberg和Morrey功能评分指数的改良版进行评估，结果为8例优秀，7例良好，1例差。结果差的患者有骨折块缺血性坏死的证据。
