| 内外髁三针固定治疗儿童肱骨髁上骨折中尺神经损伤的预防 |
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Received:June 25, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 曹进 |
CAO Jin |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
caojin111@163.com |
| 仲肇平 |
ZHONG Zhao-ping |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 周龙 |
ZHOU Long |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 徐荣明 |
XU Rong-ming |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 陈秋 |
CHEN Qiu |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 彭琳瑞 |
PEN Lin-rui |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 任荣 |
REN Rong |
宁波第六医院骨科，浙江 宁波 315040 |
Department of Orthopaedics,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第780-782页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨内外髁三针交叉固定治疗儿童肱骨髁上骨折尺神经损伤的预防。
方法：81例儿童肱骨髁上骨折，男54例，女27例；年龄2.5～11岁，平均6岁。根据Gartland分型：Ⅱ型25例，Ⅲ型56例。采用内外髁三针交叉固定方法治疗，患者均闭合复位内外髁三针交叉固定，术后石膏托固定3周。
结果：81例获得随访，患者术后均获得即时稳定性和远期骨性愈合，均未出现医源性尺神经损伤，肘关节功能均获得满意恢复。
结论：内外髁三针交叉固定术是一种稳定而可靠的治疗不稳定髁上骨折方法，术中尺神经损伤完全可以避免。 |
| [关键词]:肱骨骨折 骨折固定术,内 尺神经 儿童 |
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| Prevention of ulnar nerve injury during fixation of supracondylar fractures in children by a medial-lateral three-pin fixation technique |
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Abstract:
Objective: To expore the prevention of ulnar nerve injury during fixation of supracondylar fracture in children by a medial-lateral three-pin fixation technique.
Methods: Eighty-one patients including 54 boys and 27 girls with average age of 6 years old(2.5 to 11 years)were treated by a three-pin fixation technique with insertion of two Kirscher wires from the lateral side and the third wire through the medial side. They were followed-up without any complications related to the ulnar nerve. According to Garland system,there were 25 cases of type II supracondylar fracture and 56 of type Ⅲ。 All patients were treated by a medial-lateral three-pin fixation technique, and external fixation with plaster for 3 weeks.
Results: All cases achieved immediate stability and long-term bony fusion postoperatively and no iatrogenic ulnar nerve injury happen.
Conclusion: The tec- hnique is a stable and reliable methods for unstable supracondylar fracture and the iatrogenic injury ulnar nerve can be avoided completely. |
| KEYWORDS:Humeral fractures Fracture fixation,internal Ulnar nerve 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: | 曹进,仲肇平,周龙,徐荣明,陈秋,彭琳瑞,任荣.内外髁三针固定治疗儿童肱骨髁上骨折中尺神经损伤的预防[J].中国骨伤,2008,21(10):780~782 |
| 英文格式: | CAO Jin,ZHONG Zhao-ping,ZHOU Long,XU Rong-ming,CHEN Qiu,PEN Lin-rui,REN Rong.Prevention of ulnar nerve injury during fixation of supracondylar fractures in children by a medial-lateral three-pin fixation technique[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):780~782 |
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