| 弹性髓内钉治疗儿童长干骨骨折中并发症的分析 |
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Received:October 20, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 姚陆丰 |
YAO Lu-feng |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 陈秋 |
CHEN Qiu |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 仲肇平 |
ZHONG Zhao-ping |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 徐荣明 |
XU Rong-ming |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 王浩然 |
WANG Hao-ran |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 彭琳瑞 |
PENG Lin-rui |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 任荣 |
REN Rong |
宁波市第六医院骨科,浙江 宁波 315040 |
Orthopaedics Department,Ningbo 6th Hospital,Ningbo 315040,Zhejiang, China |
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| 期刊信息：《中国骨伤》2009年22卷，第2期，第98-100页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨弹性髓内钉治疗儿童长骨骨折并发症的原因。
方法：应用弹性髓内钉治疗儿童长骨骨折66例(75个部位),男49 例，女17 例；年龄3～17 岁，平均7.8岁。其中股骨35例(2例双侧),胫腓骨骨折20例(12例为胫骨骨折),尺桡骨8例(单纯尺骨1例),肱骨3例。开放骨折4例，闭合骨折62例，均为新鲜骨折，无多段骨折。合并脑、胸等复合伤3例。均采用闭合复位或切开复位、弹性髓内钉固定，术后石膏托或支具有限固定1个月。术后定期复查X线片。复查内容包括：关节功能，针尾情况，X线片骨痂生长情况，记录并发症及处理。
结果：全部病例均获随访，随访时间12～ 29个月，平均19个月。并发症：骨不愈2例，进针点或骨折端骨折劈裂2例，骨折端移位1例，关节活动受限4例，针尾激惹3例，骨折畸形愈合1例。
结论：严格把握手术指征、精心的术前设计、规范的操作是避免手术并发症的有效手段。 |
| [关键词]:长骨骨折 骨折固定术,髓内 并发症 儿童 |
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| Analysis on complications of elastic nail treating children's long bone fractures |
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Abstract:
Objective: To analyze the reasons on complications of treatment with elastic nail in children's long bone fracture.
Methods: Sixty-six cases(75 parts of long bone fratures) were treated by elastic nail including 49 male and 17 female. The age ranged from 3 to 17years,mean 7.8 years. There were 35 femur fractures(2 cases were hibateral),20 tibia and fibula fractures(12 cases were tibia fractures),8 radial fractures(1 case was ulna fracture) and 3 humerus fractures. The cases included 4 open fractures and 62 closed fractures. All cases were fresh fractures,no multi-segmental fractures. Three cases associated with brain and chest injuries. These cases were treated by open or closed reduction and internal fixaion with elastic nail. A cast or brace had been used after operation for a month. Following-up included the function of the joint,the bottom of the nail and the callus. Complications were timely recorded.
Results: All the patients were followed-up for 12 to 29 months, averaged 17 months. The cases occurrenced compilications including 2 cases of nonunion,2 of new fracture,1 of displacment,4 of joint dysfunction,3 of irritation of the bottom of the nail and 1 malunion.
Conclusion: Strict indication,well design,canonical operation is a good way to avoid compliacations. At the same time,early treatment can reduce the sequela. |
| KEYWORDS:Long bong fractures Fracture fixation,intramedullary Complications 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: | 姚陆丰,陈秋,仲肇平,徐荣明,王浩然,彭琳瑞,任荣.弹性髓内钉治疗儿童长干骨骨折中并发症的分析[J].中国骨伤,2009,22(2):98~100 |
| 英文格式: | YAO Lu-feng,CHEN Qiu,ZHONG Zhao-ping,XU Rong-ming,WANG Hao-ran,PENG Lin-rui,REN Rong.Analysis on complications of elastic nail treating children's long bone fractures[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(2):98~100 |
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