| 克氏针撬拨复位石膏外固定治疗儿童尺桡骨远端背靠背骨折 |
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投稿时间：2013-03-20
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| 作者 | Author | 单位 | Address | E-Mail |
| 柯清辉 |
KE Qing-hui |
解放军180医院骨三科, 福建 泉州 362000 |
Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362000, Fujian, China |
kqh180@126.com |
| 郑季南 |
ZHENG Ji-nan |
解放军180医院骨三科, 福建 泉州 362000 |
Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362000, Fujian, China |
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| 洪庆南 |
HONG Qing-nan |
解放军180医院骨三科, 福建 泉州 362000 |
Department of Orthopaedics, the 180th Hospital of PLA, Quanzhou 362000, Fujian, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第11期，第960-962页 |
| DOI：10.3969/j.issn.1003-0034.2013.11.020 |
| 基金项目: |
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中文摘要:
目的：探讨克氏针撬拨复位治疗儿童尺桡骨远端背靠背骨折的疗效及可行性。
方法：2010年7月至2012年3月，采用克氏针撬拨复位石膏外固定治疗儿童尺桡骨远端背靠背骨折37例，男24例，女13例；年龄6～13岁，平均9.5岁；伤后至就诊时间4 h～3 d，均为摔伤，无其他合并伤。
结果：37例患者获得随访，时间1～6个月。临床愈合时间21～42 d，平均31.5 d，所有患者骨性愈合，外观无畸形，无手术治疗。Moed等功能评价结果，优14例，良20例，中3例。
结论：运用克氏针撬拨复位、石膏托外固定治疗儿童尺桡骨远端背靠背骨折，既可实现骨折复位后的理想固定，又可早期进行患肢功能锻炼，取得满意疗效。 |
| 【关键词】尺骨骨折 桡骨骨折 骨折固定术 外固定器 |
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| Treatment of child back to back ultra-radius distal fracture by percutaneous reduction with Kirschner wire and external plaster fixation |
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ABSTRACT
Objective: To study the effect of Kirschner wire percutanous reduction and plaster external fixation for treatment of childern distal ulna-radius fractures.
Methods: From July 2010 to March 2012,37 children with distal ulna-radius fracture were treated by Kirschner wire percutanous reduction and plaster external fixation including 24 males and 13 females with an average age of 9.5 years old ranging from 6 to 13 years old. The course was 4 h to 3 d. The cause of fracture was all fall from height without other associated injuries.
Results: All patients were followed up from 1 to 6 months. The bone union times were from 21 to 42 d (means 31.5 d). All patients obtained bone union. No case has malunion. No case was received surgical operation. According to the Berton Scales,the result was excellent in 14 cases,good in 20 cases,fair in 3 cases.
Conclusion: Using Kirschner wire percutaneous reduction and plaster external fixation can achieve an effective reduction and fixation,which make the patients to exercise the upper extremity function as early as possible. |
| KEY WORDS Ulna fractures Radius fractures Fracture fixation External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 柯清辉,郑季南,洪庆南.克氏针撬拨复位石膏外固定治疗儿童尺桡骨远端背靠背骨折[J].中国骨伤,2013,26(11):960~962 |
| 英文格式: | KE Qing-hui,ZHENG Ji-nan,HONG Qing-nan.Treatment of child back to back ultra-radius distal fracture by percutaneous reduction with Kirschner wire and external plaster fixation[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(11):960~962 |
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