弹性髓内钉治疗儿童桡骨颈骨折
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作者Author单位AddressE-Mail
姚陆丰 YAO Lu-feng 宁波市第六医院骨科, 浙江 宁波 310000  
叶招明 YE Zhao-ming 浙江大学医学院附属第二医院骨科, 浙江 杭州 310008 Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310008, Zhejiang, China yezhaominghz@163.com 
李朝旭 LI Zhao-xu 浙江大学医学院附属第二医院骨科, 浙江 杭州 310008 Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310008, Zhejiang, China  
仲肇平 ZHONG Zhao-ping 宁波市第六医院骨科, 浙江 宁波 310000  
徐荣明 XU Rong-ming 宁波市第六医院骨科, 浙江 宁波 310000  
期刊信息:《中国骨伤》2013年,第26卷,第12期,第1028-1031页
DOI:10.3969/j.issn.1003-0034.2013.12.013
基金项目:
中文摘要:

目的:探讨应用弹性髓内钉治疗儿童桡骨颈骨折的疗效.

方法:2006年7月至2011年12月,采用弹性髓内钉治疗25例桡骨颈骨折患者,其中男16例,女9例;年龄7~15岁,平均10.7岁;按照Judet分型:Ⅱ型6例,Ⅲ型17例,Ⅳ型2例(Ⅳa型1例,Ⅳb型1例).术后记录患儿桡骨颈骨折愈合情况,肘关节的疼痛、畸形和活动范围.

结果:所有患儿获随访,时间6~24个月,平均14个月.25例桡骨颈骨折均获得良好愈合.按照Tibone-Stoltz的临床功能评定标准,优18例,良4例,中3例.

结论:弹性髓内钉治疗儿童桡骨颈骨折手术操作简单,创伤小,疗效良好.
【关键词】桡骨骨折  骨折固定术,髓内  儿童
 
Treatment of radial neck fracture in children with elastic stable intramedullary nails
ABSTRACT  

Objective: To investigate effects of elastic stable intramedullary nails for the treatment of radial neck fracture in children.

Methods: From July 2006 to December 2011,25 children with radical neck fractures,which included 16 males and 9 females aged from 7 to15 years old(means 10.7),were treated with elastic stable intramedullary nails. According to Judet classification,6 cases were typeⅡ,17 cases were type Ⅲ and 2 cases were type Ⅳ (including 1 case with type Ⅳa and 1 case with type Ⅳb). The fracture healing,pain,deformity and range of motion of elbow were recorded.

Results: All patients were followed up for 6 to 24 months with an average of 14 months. Twenty-five patients were obtained bone healing. According to Tibone and Stoltz evaluation standard,18 cases got excellet results,4 cases in good and 3 cases in moderate.

Conclusion: Elastic stable intramedullary nails for the treatment of radial neck fracture in children has advantages of simple operation,less trauma and good results.
KEY WORDS  Radius fractures  Fracture fixation, intranedullary  Child
 
引用本文,请按以下格式著录参考文献:
中文格式:姚陆丰,叶招明,李朝旭,仲肇平,徐荣明.弹性髓内钉治疗儿童桡骨颈骨折[J].中国骨伤,2013,26(12):1028~1031
英文格式:YAO Lu-feng,YE Zhao-ming,LI Zhao-xu,ZHONG Zhao-ping,XU Rong-ming.Treatment of radial neck fracture in children with elastic stable intramedullary nails[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(12):1028~1031
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