| 儿童陈旧性孟氏骨折的手术治疗 |
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Received:March 26, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 姜海 |
JIANG Hai |
西安市红十字会医院,陕西西安710054 |
The Red Cross Hospital of Xi′an 710054,Shaanxi,China |
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| 夏松鹰 |
XIA Song-ying |
哈尔滨市骨伤科医院 |
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| 苗武胜 |
MIAO Wu-sheng |
西安市红十字会医院,陕西西安710054 |
The Red Cross Hospital of Xi′an 710054,Shaanxi,China |
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| 梁晓军 |
LIANG Xiao-jun |
西安市红十字会医院,陕西西安710054 |
The Red Cross Hospital of Xi′an 710055,Shaanxi,China |
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| 周梅芬 |
ZHOU Mei-fen |
西安市红十字会医院,陕西西安710054 |
The Red Cross Hospital of Xi′an 710056,Shaanxi,China |
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| 期刊信息：《中国骨伤》2007年20卷，第12期，第845-846页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨和分析手术方法治疗儿童陈旧性孟氏骨折的临床效果。
方法:36例儿童,男28例,女8例;年龄4~14岁,平均9岁。按Bado分类法:Ⅰ型（伸直型）19例,Ⅱ型（屈曲型）9例,Ⅲ型（内收型）5例,Ⅳ型（特殊型）3例。根据不同病情分别行单纯切开复位治疗19例,尺骨截骨治疗10例,尺骨延长术治疗7例。
结果:36例术后随访1~5年,平均3.5年,根据朱玉奎等评定标准,本组优24例,良6例,可3例,差3例,优良率83%。
结论:恢复并维持正确的肱桡关系是手术后取得良好效果的关键,环状韧带可以不行修补或重建。 |
| [关键词]:骨折 尺骨 桡骨 儿童 |
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| Surgical treatment of obsolete Monteggia fractures in children |
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Abstract:
Objective:To analyze and discuss the operative method for the treatment of obsolete Monteggia fractures in children.
Methods:Thirty-six patients with obsolete Monteggia fractures were reviewed,including 28 male,8 female,ranging in age from 4 to 14 years(mean,9 years).According to the Bado classification,19 patients were type Ⅰ,9 patients were type Ⅱ,5 patients were type Ⅲ,and 3 patients were type Ⅳ.According to different type,19 patients were treated with simple open reduction,10 patients were treated with ulna osteotomy,and 7 patients were treated with ulna lengthening.
Results: All the patients were followed-up with the duration ranged from 1 to 5 years(averaged 3.5 years).Based on ZHU Yu-kui criteria for evaluation,24 patients got excellent results,6 good,3 fair and 3 bad.The excellent and good rate was 83%.
Conclusion:The key point of operation is to reconstruct and maintain the normal arrangement of humerus and radius.The annular ligament need not to be repaired or reestablished. |
| KEYWORDS:Fractures Ulna Radius 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: | 姜海,夏松鹰,苗武胜,梁晓军,周梅芬.儿童陈旧性孟氏骨折的手术治疗[J].中国骨伤,2007,20(12):845~846 |
| 英文格式: | JIANG Hai,XIA Song-ying,MIAO Wu-sheng,LIANG Xiao-jun,ZHOU Mei-fen.Surgical treatment of obsolete Monteggia fractures in children[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(12):845~846 |
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