Operative Orthopadie und Traumatologie · 1997
[Closed reduction and percutaneous pinning for acute type III extension- Supracondylar fracture of distal humerus in children.].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cheng J C, Lam T P, Shen W Y
Аннотация
GOAL OF SURGERY: Closed reduction of acute type III (according to Gartland) supracondylar extension fractures of the distal humerus and unicondylar pin fixation.
INDICATIONS: Type III and unstable type II supracondylar fractures.
CONTRAINDICATIONS: Swelling of the elbow. Compartment syndrome.
PREOPERATIVE WORK UP: Radiographs of both elbows in the anterior-posterior and lateral projections.
POSITIONING AND ANAESTHESIA: Supine with arm on arm board. General anaesthesia.
SURGICAL TECHNIQUE: Closed reduction through manipulation under fluoroscopic control. Fixation with 2 Kirschner wires introduced percutaneously through the lateral condyle. Long arm cast for 4 to 5 weeks.
POSTOPERATIVE MANAGEMENT: Radiographs on the first postoperative day, 1 week later and at time of cast and pin removal 4 to 5 weeks postoperatively. At that time active mobilisation of the elbow is started. Follow-up for 1 to 2 years is recommended.
POSSIBLE COMPLICATIONS: Damage of ossific nucleus of physis. Damage to neurovascular structures. Wire migration. Pin tract infection.
RESULTS: Out of 82 children (mean age 6.5 years) 73 had a follow-up of more than 6 months. 80.8% had good or excellent results. 15.1% had a decrease of the carrying angle of more than 10 degrees (4.1% more than 20 degrees ). There were 2 pin tract infections and 1 iatrogenic transient ulnar palsy.
INDICATIONS: Type III and unstable type II supracondylar fractures.
CONTRAINDICATIONS: Swelling of the elbow. Compartment syndrome.
PREOPERATIVE WORK UP: Radiographs of both elbows in the anterior-posterior and lateral projections.
POSITIONING AND ANAESTHESIA: Supine with arm on arm board. General anaesthesia.
SURGICAL TECHNIQUE: Closed reduction through manipulation under fluoroscopic control. Fixation with 2 Kirschner wires introduced percutaneously through the lateral condyle. Long arm cast for 4 to 5 weeks.
POSTOPERATIVE MANAGEMENT: Radiographs on the first postoperative day, 1 week later and at time of cast and pin removal 4 to 5 weeks postoperatively. At that time active mobilisation of the elbow is started. Follow-up for 1 to 2 years is recommended.
POSSIBLE COMPLICATIONS: Damage of ossific nucleus of physis. Damage to neurovascular structures. Wire migration. Pin tract infection.
RESULTS: Out of 82 children (mean age 6.5 years) 73 had a follow-up of more than 6 months. 80.8% had good or excellent results. 15.1% had a decrease of the carrying angle of more than 10 degrees (4.1% more than 20 degrees ). There were 2 pin tract infections and 1 iatrogenic transient ulnar palsy.