| 弹性髓内钉治疗儿童O'BrienⅢ型桡骨近端骨骺损伤的临床应用 |
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投稿时间：2011-11-13
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| 作者 | Author | 单位 | Address | E-Mail |
| 董伊隆 |
DONG Yi-long |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
dongyilongdel@sina.com |
| 蔡春元 |
CAI Chun-yuan |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 张雷 |
ZHANG Lei |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 姜刚毅 |
JIANG Gang-yi |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 潘展鹏 |
PAN Zhan-peng |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 杨国敬 |
YANG Guo-jin |
温州医学院附属第三医院骨科,浙江 瑞安 325200 |
Department of Orthopaedics,the 3rd Affiliated Hospital of Wenzhou Medical College,Rui'an 325200,Zhejiang,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第7期，第602-604页 |
| DOI：10.3969/j.issn.1003-0034.2012.07.018 |
| 基金项目: |
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中文摘要:
目的：探讨弹性髓内钉治疗儿童O'BrienIII型桡骨近端骨骺损伤的方法和临床疗效。
方法：2008年10月至2009年11月,采用弹性髓内钉治疗19例儿童急性O'BrienIII型桡骨小头骨折,男13例,女6例;年龄6～12岁,平均8.3岁;伤后至手术时间平均3.5 d(2～7 d).采用Métaizeau评定标准评定术后复位情况,采用Broberg-Morrey肘关节功能评分法评价肘关节功能。
结果：所有患者获得随访,时间6～12个月,平均8.7个月。未出现感染、TEN断裂及顶破皮肤等并发症。术后Métaizeau评价结果,优7例,良10例,中2例。术后3个月Broberg-Morrey肘关节功能评分(86.6±6.3)分,较术前(47.3±5.1)分提高(t=139.17,P=0.0002);优7例,良9例,一般3例。
结论：弹性髓内钉治疗儿童O'BrienⅢ型桡骨近端骨骺损伤具有疗效良好、创伤小、固定可靠等优点,为儿童O'BrienⅢ型桡骨近端骨骺损伤治疗提供一种可靠的选择。 |
| 【关键词】桡骨骨折 骨折固定术,内 儿童 |
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| Treatment of proximal radius epiphyseal injuries of O'Brien type Ⅲ with titanium elastic nail in children |
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ABSTRACT
Objective: To investigate the feasibility and clinical effects of titanium elastic nail (TEN) for treatment of proximal radius epiphyseal injuries of O'Brien type Ⅲ。
Methods:From October 2008 to November 2009,19 patients with proximal radius epiphyseal injuries of O'Brien type Ⅲ were treated with internal fixation,including 13 males and 5 females with an average age of 8.3 years old ranging from 6 to 12 years. The average time from injury to surgery was 3.5 days (2 to 7 days). The reduction situation after operation was assessed by Métaizeau criteria,and the elbow function after operation were evaluated by Broberg-Morrey elbow score.
Results:All patients were followed-up for 8.7 months in average (ranged 6 to 12 months). No infection,TEN brokage,skin bursting and other complications occurrenced. According to Métaizeau criteria,the results were excellent in 7 cases,good in 10 cases and fair in 2 cases. The Broberg-Morrey score rose from preoperative (47.3±5.1) to (86.6±6.3) at 3 months followed-up (t=139.17,P=0.0002); the outcome was excellent in 7 cases,good in 9 cases,and fair in 3 cases.
Conclusion:Internal fixation with TEN in treatment of proximal radius epiphyseal injuries of O'Brien type III has a limited invasion,cosmetic beauty,safety and reliability advantages. This technique provides a reliable alternative in proximal radius epiphyseal injuries of O'Brien typeⅢ。 |
| KEY WORDS Radius fractures 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: | 董伊隆,蔡春元,张雷,姜刚毅,潘展鹏,杨国敬.弹性髓内钉治疗儿童O'BrienⅢ型桡骨近端骨骺损伤的临床应用[J].中国骨伤,2012,25(7):602~604 |
| 英文格式: | DONG Yi-long,CAI Chun-yuan,ZHANG Lei,JIANG Gang-yi,PAN Zhan-peng,YANG Guo-jin.Treatment of proximal radius epiphyseal injuries of O'Brien type Ⅲ with titanium elastic nail in children[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(7):602~604 |
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