Læknablaðið - 15.11.1984, Blaðsíða 20

292
LÆKNABLAÐID
upparmsslagæð og miðtaug klemmdust á milli
brotenda. í einu pessara tilvika var fram-
kvæmd aðgerð 10 vikum eftir áverkann vegna
viðvarandi truflunar á starfsemi miðtaugar. í
ljós kom að taugin var vaxin föst við beinvef á
milli brotenda og var hún losuð frá við aðgerð
og lagaðist taugastarfsemin algjörlega á næstu
mánuðum.
Nidurstödur pessarar rannsóknar má orda á
pessa leið: Óblóðug rétting og festing með
mjúkum ytri umbúðum er góð og örugg með-
ferð hjá börnum með brot á upphandlegg rétt
ofan leggjarhnúa. í þeim tilvikum, þar sem
blóðrásartruflun er fyrir hendi eða að viðun-
andi brotstaða næst ekki, teljum við óhjá-
kvæmilegt að framkvæma innri festingu,
ýmist með eða án blóðugrar réttingar.
SUMMARY
Supracondylar fracture of the humerus in 208
children attending the Emergency Clinic of the City
Hospital, Reykjavik, Iceland in 1971-1979.
Seventy-five children with dislocated supracondy-
lar fractures of the humerus were examined retro-
spectively after a follow-up period of 2-12 years. All
fractures were healed and no serious complications
were found.
Tilting of the distal fragment into varus or valgus
is the main reason for change in carrying angle.
The results were excellent or good in seventy
cases, fair in five and no poor case was found.
Closed reduction is recommended, but open
reduction and fixation of the fragments with Kirsch-
ner-wires may become necessary with vascular and
neural complication, or where varus or valgus tilting
of the distal fragment cannot be reduced.
A very rare complication of dislocation of the
median nerve and the brechial artery was seen in
three cases.
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