Badhe N P, Howard P W
Department of Orthopaedics, Derbyshire Royal Infirmary, Derby, UK.
Injury. 1998 Jul;29(6):457-60. doi: 10.1016/s0020-1383(98)00087-4.
Twenty six children with severely displaced supracondylar fractures were treated with closed reduction and vertical osseous traction with an olecranon screw. Four children required a second operation in the form of open reduction and K-wire fixation for failure to achieve a satisfactory reduction. After a mean follow up of 48 weeks, 20 children (91 per cent) had an excellent result with no significant loss of movement. Two children (9 per cent) had minimal cubitus varus (av. 8 degrees) which did not require a corrective osteotomy. All four children who had a second operation had an excellent result. The average hospitalisation time was 19 days. The method of olecranon screw traction is technically easy to perform and carries few risks of complications.
26例严重移位的髁上骨折患儿采用闭合复位及鹰嘴螺钉垂直骨牵引治疗。4例患儿因未能获得满意复位而需行切开复位及克氏针固定的二次手术。平均随访48周后，20例患儿（91%）效果极佳，关节活动无明显丧失。2例患儿（9%）有轻度肘内翻（平均8度），无需行截骨矫正术。所有4例行二次手术的患儿效果均极佳。平均住院时间为19天。鹰嘴螺钉牵引方法技术操作简便，并发症风险小。
