[1]刘振东,高肖波,李峧霓.桡骨单骨弹性钉固定治疗儿童前臂双骨折[J].中医正骨,2015,27(02):45-46.
点击复制

桡骨单骨弹性钉固定治疗儿童前臂双骨折()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年02期
页码:
45-46
栏目:
临床报道
出版日期:
2015-02-10

文章信息/Info

作者:
刘振东高肖波李峧霓
浙江省临海市中医院,浙江 临海 317000
关键词:
弹性髓内钉 前臂骨折 桡骨固定 儿童
摘要:
目的:观察评价桡骨单骨弹性钉固定儿童前臂双骨折中的临床疗效。方法:治疗对采用桡骨单骨弹性钉固定的35例儿童尺 桡骨骨干双骨折患者进行回顾性总结。结果:32例患儿获得随访,平均随访时间12个月,骨折均获得临床愈合。根据Daruwalla及 Price评定标准进行功能评价,优27例,良5例。3例钉尾处出现皮肤激惹症状,拔钉后症状消失。1例出现拇长伸肌腱断裂,骨折愈 合后拔弹性钉时予以修复,最终愈合。结论:采用桡骨单骨弹性髓内钉内固定治疗儿童尺桡骨骨干双骨折,操作简单,创伤小,骨折 愈合率高,并发症少,有利于患肢功能的恢复,值得临床推广应用。

参考文献/References:

[1] Benson MK,Fixsen JA,Macnicol MF,et al.Children's orthopaedics & fractures[M].2nd Edit.Churchill Livingstone,2002:609-632.
[2] Slongo TF,Audige L(2007)Fracture and dislocation classification compendium for children:the AO pediatric comprehensive classification of long bone fractures(PCCF)[J].Journal of orthopaedic trauma 21(10 Suppl):S135- 160.
[3] Keith R,David S,Daniel W,et al.Comparison of Intramedullary Nailing to Plating for Both-Bone Forearm Fractures in Older Children[J]..J Pediatr Orthop B,2008,28(4):403-409.
[4] Weinberg AM,Castellani C,Amerstorfer F.Elastic Stable Intramedullary Nailing(ESIN)of forearm fractures [J].Oper Ortho Traumatol,2008,20(4-5):285-296.
[5] Kirkos JM,Beslikas T,Kapras EA,et al.Surgical treatment of unstable diaphyseal both bone forearm fractures in children with single fixation of the radius[J].Injury 2000,31(8):591-596.
[6] Schemitsch EH,Richards RR.The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults[J].J Bone Joint Surg(Am),1992,74(7):1068-1078.
[7] Bowman EN,Mehlman CT,Lindsell CJ,et al.Non-operative treatment of both-bone forearm shaft fractures in children:Predictors of early radiographic failure[J].J Pediatr orthop,2011,31(1):23.
[8] Dietz J F,Bae D S,Reiff E,et al.Single bone intramedullary fixation of the ulna in pediatric both bone forearm fractures:analysis of short-term clinical and radiographic results[J].J Pediatr Orthop,2010,30(5):420- 424.

备注/Memo

备注/Memo:
2014-11-03收稿 2015-02-06修回
更新日期/Last Update: 2015-02-25