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闭合复位弹性髓内针固定尺骨治疗BadoⅠ型及Ⅱ型儿童新鲜孟氏骨折
Hits: 1982   Download times: 1184   Received:July 20, 2015    
作者Author单位UnitE-Mail
罗冬冬 LUO Dong-dong 咸阳市中心医院小儿外科, 陕西 咸阳 712000 Department of Pediatric Surgery, Xianyang Center Hospital, Xianyang 712000, Shaanxi, China Dongdong261@126.com 
张树茂 ZHANG Shu-mao 三原县红原医院骨科, 陕西 咸阳 712000  
期刊信息:《中国骨伤》2016年29卷,第1期,第64-67页
DOI:10.3969/j.issn.1003-0034.2016.01.014


目的:探讨闭合复位弹性髓内针固定尺骨治疗BadoⅠ型及Ⅱ型儿童新鲜孟氏骨折的疗效。

方法:2010年7月至2013年9月就诊的儿童孟氏骨折的患儿23例,其中男18例,女5例;年龄6~13岁,平均9.3岁。BadoⅠ型孟氏骨折15例,Ⅱ型8例。采用闭合复位,弹性髓内针固定尺骨方法治疗。其中9例合并桡神经损伤。观察手术时间,神经恢复情况,骨折愈合情况,肘关节功能。

结果:患儿均获得随访,时间6~24个月,平均12个月,骨折均骨性愈合,末次随访Anderson法评价患肢功能,优20例,良2例,可1例。

结论:闭合复位弹性髓内针固定尺骨治疗儿童新鲜孟氏骨折操作简单、创伤小、疗效好。
[关键词]:尺骨骨折  Monteggia骨折  儿童  骨折固定术,髓内  外科手术
 
Treatment of fresh Monteggia fractures of Bado typeⅠandⅡin children by closed reduction and ulna intramedullary nail fixation
Abstract:

Objective:To investigate the effects of closed reduction and ulna intramedullary nail fixation for the treatment of fresh Monteggia fractures of Bado type Ⅰand Ⅱ in children.

Methods:Twenty-three children patients with Monteggia fracture during July 2010 to September 2013 were treated by closed reduction and ulna intramedullary nail fixaion including 18 boys and 5 girls with an average age of 9.3 years old ranging from 6 to 13 years old. Among them,15 cases were Bado type Ⅰ and 8 cases were Bado type Ⅱ。 There were 9 cases with radial nerve injury. The operation time,the recovery of nerve injury,the fracture healing and the function of elbow were observed and recorded.

Results:All patients were followed up for 6 to 24 months (12 months on average). All patients were obtained bone healing. According to Anderson standard,at the final follow-up,20 cases got excellent result,2 cases got good result,and one case got fair result.

Conclusion:Treatment of the fresh Monteggia fractures in children by closed reduction and ulna intramedullary nail fixation has advantages of simple operation,less trauma and good results.
KEYWORDS:Ulna fractures  Monteggia Fractures  Child  Fracture fixation,intramedullary  Surgical procedures,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:罗冬冬,张树茂.闭合复位弹性髓内针固定尺骨治疗BadoⅠ型及Ⅱ型儿童新鲜孟氏骨折[J].中国骨伤,2016,29(1):64~67
英文格式:LUO Dong-dong,ZHANG Shu-mao.Treatment of fresh Monteggia fractures of Bado typeⅠandⅡin children by closed reduction and ulna intramedullary nail fixation[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(1):64~67
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