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手法复位治疗儿童孟氏骨折并肘关节脱位
Hits: 2455   Download times: 1622   Received:August 17, 2005    
作者Author单位UnitE-Mail
孙春瑞 SUN Chun-rui 河北医科大学第三医院创伤急救中心,河北石家庄050051 Emergency Center of Injury,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,Hebei,China fenghelin0311@126.com 
冯和林 FENG He-lin 河北医科大学第三医院创伤急救中心,河北石家庄050051 Emergency Center of Injury,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,Hebei,China  
李增炎 LI Zeng-yan 河北医科大学第三医院创伤急救中心,河北石家庄050051 Emergency Center of Injury,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,Hebei,China  
李同建 LI Tong-jian 河北医科大学第三医院创伤急救中心,河北石家庄050051 Emergency Center of Injury,the Third Affiliated Hospital of Hebei Medical University,Shijiazhuang 050051,Hebei,China  
期刊信息:《中国骨伤》2006年19卷,第4期,第214-215页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:观察手法复位外固定治疗孟氏骨折并肘关节脱位的疗效。

方法:1998年1月-2004年12月,采用先复位脱位的肘关节,再行骨折断端沿着与移位相反方向进行复位的整复原则行手法复位外固定治疗孟氏骨折并肘关节脱位11例,按Bado分型:Ⅰ型5例,Ⅱ型4例,Ⅲ型2例。

结果:经6个月~7年,平均2.5年随访,骨折愈合时间平均为5周。按功能评定:优8例,良3例。

结论:儿童孟氏骨折并肘关节脱位治疗首选手法复位,可获得满意疗效。
[关键词]:孟氏骨折  肘关节  脱位  骨折固定术
 
Manual reduction for the treatment of Monteggia fracture associated with elbow joint dislocation in children
Abstract:

Objective: To observe the manual reduction for the treatment of Monteggia fracture associated with elbow joint dislocation in children.

Methods:From January 1998 to December 2004,11 cases of Monteggia fracture associated with elbow joint dislocation in children were treated with manual reduction,the elbow joint dislocation should be reduced at first,and then the fracture extremity should be reduced along the direction opposite displacement.According to classification of Bado system:Type Ⅰ had 5 cases,type Ⅱ 4 cases,type Ⅲ 2 cases.

Results:All the patients were followed up from 6 months to 7 years in an average of 2.5 years.All the fractures healed in an average healing time of 5 weeks.According to standard of evaluation,8 cases obtained excellent,3 cases good.

Conclusion:The manual reduction should be firstly selected for the Monteggia fracture associated with elbow joint dislocation in children.
KEYWORDS:Monteggia fracture  Elbow joint  Dislocations  Fracture fixation
 
引用本文,请按以下格式著录参考文献:
中文格式:孙春瑞,冯和林,李增炎,李同建.手法复位治疗儿童孟氏骨折并肘关节脱位[J].中国骨伤,2006,19(4):214~215
英文格式:SUN Chun-rui,FENG He-lin,LI Zeng-yan,LI Tong-jian.Manual reduction for the treatment of Monteggia fracture associated with elbow joint dislocation in children[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(4):214~215
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