儿童肱骨髁上骨折伴侧移位

IF 0.1 Q4 SURGERY
M. Zaidman, M. Eidelman, K. Abu-Dalu, P. Kotlarsky
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引用次数: 0

摘要

背景:肱骨髁上骨折可能是需要手术治疗的儿童中最常见的肘部骨折。我们观察到一种儿童肱骨髁上骨折的亚型,其侧移,在初始X线片上矢状面没有明显位移。本研究的目的是计算这种骨折亚型的发生率,并建议对标准手术技术进行修改,以实现所需的骨折对齐和固定。方法:我们回顾了2006年至2014年在我院手术治疗的所有儿童肱骨髁上骨折患者的临床记录和X线片。记录骨折类型、固定方式和任何并发症。结果:总的来说,263名连续患者被纳入。肱骨髁上骨折单纯侧移位的发生率为6%。骨折具有临床和放射学特征。我们建议对这种骨折类型的标准手术技术进行修改,以成功地闭合复位和经皮钉扎。结论:对这种骨折亚型的特别关注,包括适当的手术室设置和适当的复位和钉扎技术的应用,有可能取得成功,避免需要切开复位。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pediatric Supracondylar Fracture of the Humerus with Sideward Displacement
Background: Supracondylar humeral fracture is probably the most common elbow fracture in children requiring surgical intervention. We observed a subtype of pediatric supracondylar humeral fracture with a sideward translation, without substantial displacement in the sagittal plane on initial radiographs. The purpose of this study was to calculate the incidence of this fracture subtype and suggest a modification to the standard operative technique, to achieve the desired fracture alignment and fixation. Methods: We reviewed the clinical records and radiographs of all pediatric patients with supracondylar humeral fractures surgically treated in our institution between the years 2006 and 2014. The fracture types, fixation configuration and any complications were recorded. Results: Overall, 263 consecutive patients were included. The incidence of supracondylar fracture of the humerus with solely sideward displacement was 6%. The fracture was characterized clinically and radiographically. We proposed a modification to the standard operative technique for this fracture subtype for successful closed reduction and percutaneous pinning. Conclusions: Special attention to this fracture subtype, including appropriate operating room setup and the application of a suitable reduction and pinning technique, has the potential to achieve successful results and avoid the need for open reduction.
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