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弹性髓内钉治疗儿童桡骨颈骨折
Hits: 2409   Download times: 1230   Received:April 25, 2013    
作者Author单位UnitE-Mail
姚陆丰 YAO Lu-feng 宁波市第六医院骨科, 浙江 宁波 310000  
叶招明 YE Zhao-ming 浙江大学医学院附属第二医院骨科, 浙江 杭州 310008 Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310008, Zhejiang, China yezhaominghz@163.com 
李朝旭 LI Zhao-xu 浙江大学医学院附属第二医院骨科, 浙江 杭州 310008 Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University of Medicine, Hangzhou 310008, Zhejiang, China  
仲肇平 ZHONG Zhao-ping 宁波市第六医院骨科, 浙江 宁波 310000  
徐荣明 XU Rong-ming 宁波市第六医院骨科, 浙江 宁波 310000  
期刊信息:《中国骨伤》2013年26卷,第12期,第1028-1031页
DOI:10.3969/j.issn.1003-0034.2013.12.013


目的:探讨应用弹性髓内钉治疗儿童桡骨颈骨折的疗效.

方法:2006年7月至2011年12月,采用弹性髓内钉治疗25例桡骨颈骨折患者,其中男16例,女9例;年龄7~15岁,平均10.7岁;按照Judet分型:Ⅱ型6例,Ⅲ型17例,Ⅳ型2例(Ⅳa型1例,Ⅳb型1例).术后记录患儿桡骨颈骨折愈合情况,肘关节的疼痛、畸形和活动范围.

结果:所有患儿获随访,时间6~24个月,平均14个月.25例桡骨颈骨折均获得良好愈合.按照Tibone-Stoltz的临床功能评定标准,优18例,良4例,中3例.

结论:弹性髓内钉治疗儿童桡骨颈骨折手术操作简单,创伤小,疗效良好.
[关键词]:桡骨骨折  骨折固定术,髓内  儿童
 
Treatment of radial neck fracture in children with elastic stable intramedullary nails
Abstract:

Objective: To investigate effects of elastic stable intramedullary nails for the treatment of radial neck fracture in children.

Methods: From July 2006 to December 2011,25 children with radical neck fractures,which included 16 males and 9 females aged from 7 to15 years old(means 10.7),were treated with elastic stable intramedullary nails. According to Judet classification,6 cases were typeⅡ,17 cases were type Ⅲ and 2 cases were type Ⅳ (including 1 case with type Ⅳa and 1 case with type Ⅳb). The fracture healing,pain,deformity and range of motion of elbow were recorded.

Results: All patients were followed up for 6 to 24 months with an average of 14 months. Twenty-five patients were obtained bone healing. According to Tibone and Stoltz evaluation standard,18 cases got excellet results,4 cases in good and 3 cases in moderate.

Conclusion: Elastic stable intramedullary nails for the treatment of radial neck fracture in children has advantages of simple operation,less trauma and good results.
KEYWORDS:Radius fractures  Fracture fixation, intranedullary  Child
 
引用本文,请按以下格式著录参考文献:
中文格式:姚陆丰,叶招明,李朝旭,仲肇平,徐荣明.弹性髓内钉治疗儿童桡骨颈骨折[J].中国骨伤,2013,26(12):1028~1031
英文格式:YAO Lu-feng,YE Zhao-ming,LI Zhao-xu,ZHONG Zhao-ping,XU Rong-ming.Treatment of radial neck fracture in children with elastic stable intramedullary nails[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(12):1028~1031
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