De Boeck H, De Smet P
Department of Pediatric Orthopedics and Traumatology, A.Z.-V.U.B., Brussels, Belgium.
Acta Orthop Belg. 1997 Dec;63(4):240-4.
We reviewed the cases of 10 patients with cubitus valgus deformity who had a supracondylar elbow fracture during childhood, in order to identify the causes of valgus deformity. Cubitus valgus deformity occurred in 3 cases because of failure to recognize the deformity at the initial treatment. In 7 patients the deformity was recognized but was insufficiently treated. In this series there was no evidence of progressive valgus deformity after healing of the fracture. Incomplete correction is the main cause of valgus deformity. It is suggested that, in order to reduce the incidence of valgus deformity following supracondylar elbow fracture, careful analysis of the fracture pattern is necessary and the initial angulation should be reduced anatomically and fixed in a correct manner.
我们回顾了10例儿童期曾发生肱骨髁上骨折并伴有肘外翻畸形患者的病例，以确定外翻畸形的原因。3例肘外翻畸形是由于初次治疗时未识别出畸形所致。7例患者虽已识别出畸形，但治疗不充分。在该系列病例中，骨折愈合后没有进行性外翻畸形的证据。矫正不完全是外翻畸形的主要原因。建议为降低肱骨髁上骨折后外翻畸形的发生率，有必要仔细分析骨折类型，初次成角应进行解剖复位并正确固定。
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