| 微型指掌骨钢板治疗小儿骨骺损伤 |
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投稿时间：2010-10-25
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| 期刊信息：《中国骨伤》2011年，第24卷，第2期，第170-172页 |
| DOI：10.3969/j.issn.1003-0034.2011.02.022 |
| 基金项目: |
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中文摘要:
目的：通过采用微型指掌骨钢板治疗小儿骨骺损伤的临床疗效观察，分析其在治疗小儿骨骺损伤中的优势。
方法：2004年6月至2009年5月，采用微型指掌骨钢板治疗小儿骨骺损伤85例，男52例，女33例；年龄1～14岁，平均6.6岁。患儿全部为单部位损伤，上肢68例，其中肱骨髁19例，肱骨头16例，尺骨鹰嘴12例，桡骨远端14例，桡骨小头7例；下肢17例，其中股骨髁12例，胫骨髁5例。
结果：术后所有患儿伤口愈合良好，无并发症。85例患儿获随访81例，随访6个月～5年，平均2.6年，术后4周参照各关节部位损伤疗效评价标准：优44例，良21例，中11例，差9例。
结论：利用微型指掌骨钢板内固定治疗小儿骨骺损伤，可早期达到理想的解剖复位，保护了骨愈合的生物学环境，术后关节功能活动良好、影响骨骼发育畸形少，值得在临床上进一步推广应用。 |
| 【关键词】骨骺 损伤 骨折固定术，内 儿童 |
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| Miniaturized metacarpus steel plate for treatment of epiphysis injury |
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ABSTRACT
Objective: To observe the clinical effects of miniaturized metacarpus steel plate for the treatment of child epiphysis injury,and to analyse its clinical advantages in the child epiphysis injury.
Methods: From June 2004 to May 2009,85 children with epiphysis injury treated with miniaturized metacarpus steel plate included 52 boys and 33 girls with an average age of 6.6 years old ranging from 1 to 14 years. All the children suffered from just one part injury. There were 68 cases of upper limb injury,19 of which were humerus epicondyle injury,16 humerus head injury,12 olecranon injury,14 distal radius injury and 7 head of radius injury. The other 17 cases were lower limb injury,12 of which were femur epicondyle injury and 5 tibia epicondyle injury.
Results: All children obtained good intention,and no postoperative complications occurrenced. Eighty-one children were followed up for 6 months to 5 years(averaged 2.6 years). The results were evaluated at 4 weeks after the operation and showed that there were excellent in 44 cases,good in 21 cases,fair in 11 cases and poor in 9 cases.
Conclusion: Treatment of child epiphysis injury with miniaturized metacarpus steel plate can achieve perfect anatomical reduction in the early stage,protect the biological enviroment of the recovery. This treatment makes the postoperative joint functions and movements recovery nice,barely cause any bone malformation,and worth further clinical applications. |
| KEY WORDS Epiphyses Injuries Fracture fixation,internal Child |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘保健,董万涛.微型指掌骨钢板治疗小儿骨骺损伤[J].中国骨伤,2011,24(2):170~172 |
| 英文格式: | LIU Bao-jian,DONG Wan-tao.Miniaturized metacarpus steel plate for treatment of epiphysis injury[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(2):170~172 |
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