| 微创弹性髓内钉治疗儿童桡骨颈骨折18例 |
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Received:July 25, 2017
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| 作者 | Author | 单位 | Unit | E-Mail |
| 许真 |
XU Zhen |
德安县人民医院骨科, 江西 德安 330400 |
Department of Orthopaedics, People's Hospital of De'an County, De'an 330400, Jiangxi, China |
rabbitxu@sohu.com |
| 胡美进 |
HU Mei-jin |
德安县人民医院骨科, 江西 德安 330400 |
Department of Orthopaedics, People's Hospital of De'an County, De'an 330400, Jiangxi, China |
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| 期刊信息：《中国骨伤》2017年30卷，第10期，第961-964页 |
| DOI：10.3969/j.issn.1003-0034.2017.10.016 |
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目的：探讨弹性髓内钉（ESIN）技术治疗儿童桡骨颈骨折的疗效。
方法：自2014年1月至2017年4月采用微创方法弹性髓内钉内固定治疗儿童桡骨颈骨折18例，男6例，女12例；年龄4～15岁，平均8.6岁；左侧7例，右侧11例。按Judet分型：Ⅱ型5例，Ⅲ型9例，Ⅳa型1例，Ⅳb型3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：18例均获得随访，时间3～14个月，平均8个月，均愈合良好，1例出现钉尾激惹疼痛，骨折愈合拔除后消失；1例复位固定后术中满意，术后2 d复查发现侧方及成角20°移位，观察6个月肘关节功能良好。按照Tibone-Stoltz的临床功能评定标准，优11例，良5例，中2例。
结论：弹性髓内钉内固定治疗儿童桡骨颈骨折手术操作简单，具有疗效可靠、微创、可尽早恢复功能活动、并发症少等优点。 |
| [关键词]:骨折固定术，髓内 桡骨骨折 儿童 外科手术，微创性 |
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| Minimally invasive elastic intramedullary nailing for the treatment of radial neck fracture in children:a report of 18 cases |
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Abstract:
Objective:To investigate effects of elastic stable intramedullary nails(ESIN) for the treatment of radial neck fracture in children.
Methods:From January 2014 to April 2017,18 children with radial neck fractures were treated with minimally invasive internal fixation including 6 males and 12 females with an average age of 8.6 years old ranging from 4 to 15 years old;7 cases were on the left,11 cases on the right. According to Judet type,5 cases were typeⅡ,9 cases were type Ⅲ,1 case was type Ⅳa,3 cases were type Ⅳb. Postoperative radial neck fracture healing,elbow pain,deformity and range of activities were recorded.
Results:All children were followed up for 3 to 14 months with an average of 8 months. All fractures were healed well. There was 1 case of nail tail irritation,and the fracture healed and pain disappeared after removal. Satisfactory results were achieved in 1 case after reduction and fixation,but a lateral and angulation shift in 20 degrees was observed after 2 days,while the elbow joint function seen well at 6 months. According to Tibone-Stoltz clinical function assessment criteria,the results were excellent in 11 cases,good in 5 cases,fair in 2 cases.
Conclusion:The operation of elastic intramedullary nail fixation for the treatment of radial neck fracture in children is simple,reliable and minimally invasive,which can restore functional activity and less complication as soon as possible. |
| KEYWORDS:Fracture fixation,intramedullary Radius fractures Child Surgical procedures,minimally invasive |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 许真,胡美进.微创弹性髓内钉治疗儿童桡骨颈骨折18例[J].中国骨伤,2017,30(10):961~964 |
| 英文格式: | XU Zhen,HU Mei-jin.Minimally invasive elastic intramedullary nailing for the treatment of radial neck fracture in children:a report of 18 cases[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(10):961~964 |
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