Хирургическое лечение несросшихся переломов головки мыщелка плечевой кости у детей

Аннотация

The experience of operative treatment in 116 children with incomplete fractures and pseudoarthrosis of the condyle of the humeral head is presented. The reasons for nonunion are errors of diagnosis and treatment of patients. Also important is the intraarticular nature of the fracture, the condition of the broken fragment from cartilage tissue and bone tissue, the contact of heterogeneous tissues in the presence of a lateral proximal small (4-5mm) displacement of the bone fragment, which is the cause of the extended period of bone-cartilage callus beyond the redistribution the accepted period of immobilization of the joint. A method for fixing a bone fragment, proposed by the authors, and a method of operation for treating pseudoarthrosis of the humeral condyle of the humerus by bone grafting, taken from the diaphysis of the fibula of the patient himself, is described. Excellent results were obtained in 43.3%. good results were observed in 46.2%, satisfactory - in 5.3%, and unsatisfactory - in 5.3% of patients.