| 高海拔地区应用克氏针髓内固定治疗儿童尺桡骨干双骨折的临床疗效 |
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投稿时间：2022-04-01
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| 作者 | Author | 单位 | Address | E-Mail |
| 普布顿珠 |
Pubudunzhu |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 扎西平措 |
Zhaxipingcuo |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 旦增欧珠 |
Danzengouzhu |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 格桑 |
Gesang |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 罗杰 |
Luojie |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 美多 |
Meiduo |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China |
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| 袁军 |
YUAN Jun |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200
上海市松江区泗泾医院, 上海 201601 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China
Sijing Hospital of Shanghai Songjiang District, Shanghai 201601, China |
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| 章新君 |
ZHANG Xin-jun |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200
上海市松江区泗泾医院, 上海 201601 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China
Sijing Hospital of Shanghai Songjiang District, Shanghai 201601, China |
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| 黄晓刚 |
HUANG Xiao-gang |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200
上海市松江区泗泾医院, 上海 201601 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China
Sijing Hospital of Shanghai Songjiang District, Shanghai 201601, China |
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| 戴磊 |
DAI Lei |
西藏自治区定日县人民医院, 西藏自治区 日喀则 858200
上海市松江区中心医院, 上海 201600 |
Dingri People's Hospital of Tibet Autonomous Region, Shigatse 858200, Xizang Zizhiqu, China
Shanghai Songjiang District Central Hospital, Shanghai 201600, China |
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| 柳超 |
LIU Chao |
上海市松江区中心医院, 上海 201600 |
Shanghai Songjiang District Central Hospital, Shanghai 201600, China |
ortholiuchao@163.com |
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| 期刊信息：《中国骨伤》2023年，第36卷，第7期，第619-622页 |
| DOI：10.12200/j.issn.1003-0034.2023.07.005 |
| 基金项目: |
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中文摘要:
目的：探讨克氏针髓内固定治疗高海拔地区儿童前臂双骨折的临床疗效。
方法：2020年8月至2021年12月采用克氏针髓内固定治疗19例儿童尺桡骨干双骨折患者，男11例，女8例；年龄4~13（8.16±2.71）岁；病程1~10（4.11±2.51） d。首先尝试闭合复位，复位不成功则采取有限切开复位，再进行克氏针髓内固定尺桡骨。根据X线片评估骨折愈合情况，采用Anderson前臂功能评分标准评价疗效。
结果：术后患者伤口愈合良好，其中术后发生针尾激惹临床表现2例，取出克氏针后症状消失。19例患者获随随访，时间3~14（7.68±3.50）个月。术后X线片示所有病例愈合，末次随访Anderson前臂功能评价：优16例，良2例，可1例。
结论：高原地区儿童骨折往往就诊延误、医疗条件匮乏并且依从性不足，基于这些特点选用克氏针髓内固定治疗儿童尺桡骨双骨折具有损伤小，恢复快等优点，是一种可以推广的手术方式。 |
| 【关键词】高原地区 儿童 尺桡骨骨折 克氏针固定 |
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| Clinical effect of Kirschner wire intramedullary fixation in the treatment of pediatric both-bone forearm fractures at high altitude area |
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ABSTRACT
Objective To explore the clinical effect of Kirschner wire intramedullary fixation in the treatment of both-bone forearm fractures in children of high altitude area.
Methods From August 2020 to December 2021, 19 children were treated with Kirschner wire intramedullary fixation including 11 males and 8 females, aged from 4 to 13 years old with an average of (8.16±2.71) years old. The course of disease was 1 to 10 days, with a mean of (4.11±2.51) d. First, close reduction was performed. If the reduction was unsuccessful, limited open reduction was performed, followed by Kirschner wire intramedullary fixation of the radius and ulna. The fracture healing was evaluated by X-ray after operation, and the curative effect was evaluated by Anderson forearm function score standard.
Results The wound healed well after operation, 2 cases had clinical manifestations of needle tail irritation after operation, and the symptoms disappeared after removing the internal fixation. The average follow-up time was(7.68±3.50) months (3 to 14 months). X-ray showed that all fracture healing in follow-up, Anderson forearm function score showed excellent in 16 cases, good in 2 cases and fair in 1 case at the final follow-up.
Conclusion Children with fractures in plateau areas often have delayed medical treatment, lack of medical conditions and insufficient compliance. Based on these characteristics, Kirschner wire intramedullary fixation for the treatment of children's double forearm fractures has the advantages of small injury and rapid recovery. It is a kind of operation method that can be popularized. |
| KEY WORDS Plateau area Child Ulnar and radial fractures Kirschner wire fixation |
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| 中文格式: | 普布顿珠,扎西平措,旦增欧珠,格桑,罗杰,美多,袁军,章新君,黄晓刚,戴磊,柳超.高海拔地区应用克氏针髓内固定治疗儿童尺桡骨干双骨折的临床疗效[J].中国骨伤,2023,36(7):619~622 |
| 英文格式: | Pubudunzhu,Zhaxipingcuo,Danzengouzhu,Gesang,Luojie,Meiduo,YUAN Jun,ZHANG Xin-jun,HUANG Xiao-gang,DAI Lei,LIU Chao.Clinical effect of Kirschner wire intramedullary fixation in the treatment of pediatric both-bone forearm fractures at high altitude area[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(7):619~622 |
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