Avtor/Urednik     Vindišar, Franci
Naslov     Zlomi in epifiziolize v predelu komolca
Prevedeni naslov     Injuries of distal forearm
Tip     članek
Vir     In: Komadina R, Smrkolj V, Pavlovčič V, et al. Zbornik izbranih predavanj Simpozija o poškodbah otroškega skeleta in poškodbah nevrokraniuma in možganov. Celje: Splošna bolnišnica,
Leto izdaje     2009
Obseg     str. 26-31
Jezik     slo
Abstrakt     Background. Treatment of fractures around the elbow at children and adolescent needs good knowledge of anatomy in different age group and additional correct nature of fracture, what guarantee good result of operative treatment. Methods and results. We treated with operation procedure 38 children with supracondylar humeral fractures. In 12 cases we are able to provide a good position and then closed percutaneous fixation was done, the remaining have been opened. In 7 cases we observed ulnar nerve injury, without later consequences. Fractures of olecranon was provided in the 7 cases, there were no complications in this group. In 9 cases we operationally treated fractures in the proximal radius, which in the case of open reposition serious complications occured with reduced mobility. Taking care in avulsion of ulnar epicondil, which is made in 26 cases were used several methods of fixation, in which 10 cases remained limited mobility in elbow up to 20 degrees. Conclusion. The operating supply fractures in the elbow in children and adolescents is necessary to pursue the anatomical targeting, firm fixation or stable fixation and finally to the correct rehabilitation.
Izvleček     Izhodišča. Zdravljenje zlomov v predelu komolca pri otrocih in adolescentih zahteva dobro poznavanje anatomije v različnih starostnih obdobjih in posledično pravilno oceno narave zlomov, kar omogoča dober rezultat operativnega zdravljenja. Metode in rezultati. Operativno smo zdravili 38 otrok s suprakondiličnim zlomom nadlahtnice, kjer smo v 12 primerih uspeli zagotoviti dober položaj fragmentov z zaprto naravnavo in nato perkutano fiksacijo, v preostalih je bila narejena odprta naravnava. V 7 primerih smo zabeležili poškodbo ulnarnega živca, brez kasnih posledic. Zlom olekranona je bil operativno oskrbljen v 7 primerih, komplikacij v tej skupini ni bilo. V 9 primerih smo operativno oskrbeli zlome v predelu proksimalnega radiusa, kjer je v primeru odprte repozicije prišlo do hujše komplikacije z omejeno gibljivostjo. Ob oskrbi avulzij ulnarnega epikondila, ki je bila narejena v 26 primerih, je bilo uporabljenih več načinov fiksacij, v kar 10 primerih je ostala omejena gibljivost v komolcu do 20 stopinj. Zaključek. V operativni oskrbi zlomov v predelu komolca pri otrocih in adolescentih je potrebno težiti k anatomski naravnavi, čvrsti fiksaciji ali stabilni osteosintezi in končno k pravilni rehabilitaciji.
Deskriptorji     FOREARM INJURIES
CHILD