儿童陈旧性孟氏骨折的手术治疗
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作者Author单位AddressE-Mail
姜海 JIANG Hai 西安市红十字会医院,陕西西安710054 The Red Cross Hospital of Xi′an 710054,Shaanxi,China  
夏松鹰 XIA Song-ying 哈尔滨市骨伤科医院  
苗武胜 MIAO Wu-sheng 西安市红十字会医院,陕西西安710054 The Red Cross Hospital of Xi′an 710054,Shaanxi,China  
梁晓军 LIANG Xiao-jun 西安市红十字会医院,陕西西安710054 The Red Cross Hospital of Xi′an 710055,Shaanxi,China  
周梅芬 ZHOU Mei-fen 西安市红十字会医院,陕西西安710054 The Red Cross Hospital of Xi′an 710056,Shaanxi,China  
期刊信息:《中国骨伤》2007年,第20卷,第12期,第845-846页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:探讨和分析手术方法治疗儿童陈旧性孟氏骨折的临床效果。

方法:36例儿童,男28例,女8例;年龄4~14岁,平均9岁。按Bado分类法:Ⅰ型(伸直型)19例,Ⅱ型(屈曲型)9例,Ⅲ型(内收型)5例,Ⅳ型(特殊型)3例。根据不同病情分别行单纯切开复位治疗19例,尺骨截骨治疗10例,尺骨延长术治疗7例。

结果:36例术后随访1~5年,平均3.5年,根据朱玉奎等评定标准,本组优24例,良6例,可3例,差3例,优良率83%。

结论:恢复并维持正确的肱桡关系是手术后取得良好效果的关键,环状韧带可以不行修补或重建。
【关键词】骨折  尺骨  桡骨  儿童  
 
Surgical treatment of obsolete Monteggia fractures in children
ABSTRACT  

Objective:To analyze and discuss the operative method for the treatment of obsolete Monteggia fractures in children.

Methods:Thirty-six patients with obsolete Monteggia fractures were reviewed,including 28 male,8 female,ranging in age from 4 to 14 years(mean,9 years).According to the Bado classification,19 patients were type Ⅰ,9 patients were type Ⅱ,5 patients were type Ⅲ,and 3 patients were type Ⅳ.According to different type,19 patients were treated with simple open reduction,10 patients were treated with ulna osteotomy,and 7 patients were treated with ulna lengthening.

Results: All the patients were followed-up with the duration ranged from 1 to 5 years(averaged 3.5 years).Based on ZHU Yu-kui criteria for evaluation,24 patients got excellent results,6 good,3 fair and 3 bad.The excellent and good rate was 83%.

Conclusion:The key point of operation is to reconstruct and maintain the normal arrangement of humerus and radius.The annular ligament need not to be repaired or reestablished.
KEY WORDS  Fractures  Ulna  Radius  Child  
 
引用本文,请按以下格式著录参考文献:
中文格式:姜海,夏松鹰,苗武胜,梁晓军,周梅芬.儿童陈旧性孟氏骨折的手术治疗[J].中国骨伤,2007,20(12):845~846
英文格式:JIANG Hai,XIA Song-ying,MIAO Wu-sheng,LIANG Xiao-jun,ZHOU Mei-fen.Surgical treatment of obsolete Monteggia fractures in children[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(12):845~846
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