[1]刘昕,邓志强,叶家军.撬拨复位弹性髓内钉固定治疗JudetⅣ型儿童桡骨颈骨折[J].中医正骨,2015,27(12):65-67.
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撬拨复位弹性髓内钉固定治疗JudetⅣ型儿童桡骨颈骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年12期
页码:
65-67
栏目:
临床报道
出版日期:
2015-12-30

文章信息/Info

作者:
刘昕邓志强叶家军
四川省骨科医院,四川 成都 610041
关键词:
桡骨骨折 骨折固定术髓内 儿童
摘要:
目的:观察撬拨复位弹性髓内钉固定治疗JudetⅣ型儿童桡骨颈骨折的临床疗效和安全性。方法:2008年2月至2015年2月,采用撬拨复位弹性髓内钉固定治疗JudetⅣ型儿童桡骨颈骨折患者26例,男19例、女7例。年龄5~14岁,中位数9岁。均为闭合性骨折,其中左侧5例、右侧21例。合并尺骨鹰嘴骨折3例、肱骨内上髁骨折1例。受伤至手术时间8 h至19 d,中位数3 d。术后随访观察骨折愈合、并发症发生及患肢功能恢复情况。结果:所有患者均获随访,随访时间6~24个月,中位数11个月。均达到解剖复位。骨折均愈合,愈合时间4~7周,中位数5周。均未出现切口感染、桡骨头发育畸形及桡骨头坏死等并发症。1例患者出现钉尾皮肤软组织刺激症状,腕关节制动1周后症状消失。采用Tibone-Stoltz临床功能评价标准评定疗效,优19例、良6例、中1例。结论:撬拨复位弹性髓内钉固定治疗JudetⅣ型儿童桡骨颈骨折,具有创伤小、骨折复位好、愈合率高、患肢功能恢复良好、并发症少等优点,值得临床推广应用。

参考文献/References:

[1] Dormans JP,Rang M.Fractures of the olecranon and radial neck in children[J].Orthop Clin North Am,1990,21(2):257-268.
[2] Bernstein SM,Mckeever P,Bernstein L.Percutaneous reduction of displaced radial neck fracture in children[J].J Pediatr Orthop,1993,13(1):85-88.
[3] D'souza S,Vaishya R,Klenerman L.Mangement of radial neck fractures in children:a retrospective analysis of one hundred patients[J].J Pediatr Orthop,1993,13(2):232-238.
[4] Klitscher D,Richter S,Bodenschatz K,et al.Evaluation of severely displaced radial neck fractures in children treated with elastic stable intramedullary nailing[J].J Pediatr Orthop,2009,29(7):698-703.
[5] Tibone JE,Stoltz M.Fractures of the radial head and neck in children[J].J Bone Joint Surg Am,1981,63(1):100-106.
[6] Landin LA,Danielsson LG.Elbow fractures in children.An epidemiological analysis of 589 cases[J].Acta Orthop Scand,1986,57(4):309-312.
[7] Monson R,Black B,Reed M.A new closed reduction technique for the treatment of radial neck fractures in children[J].J Pediatr Orthop,2009,29(3):243-247.
[8] Jones ER,Esah M.Displaced fractures of the neck of the radius in children[J].J Bone Joint Surg Br,1971,53(3):429-439.
[9] Evans MC,Graham HK.Radial neck fractures in children:a management algorithm[J].J Pediatr Orthop B,1999,8(2):93-99.
[10] Neher CG,Torch MA.New reduction technique for severely displaced pediatric radial neck fractures[J].J Pediatr Orthop,2003,23(5):626-628.
[11] Steinberg EL,Golomb D,Salama R,et al.Radial head and neck fractures in children[J].J Pediatr Orthop,1988,8(1):35-40.
[12] Prathapkumar KR,Garg NK, Bruce CE.Elastic stable intramedullary nail fixation for severely displaced fractures of the neck of the radius in children[J].J Bone Joint Surg Br,2006,88(3):358-361.
[13] Radomisli TE,Rosen AL.Controversies regarding radial neck fractures in children[J].Clin Orthop Relat Res,1998,(353):30-39.
[14] Vocke AK,Von Laer L.Displaced fractures of the radial neck in children:long-term results and prognosis of conservative treatment[J].J Pediatr Orthop B,1998,7(3):217-222.
[15] Pesudo JV,Aracil J,Barcelo M.Leverage method in displaced fractures of the radial neck in children[J].Clin Orthop Relat Res,1982,(169):215-218.
[16] Okçu G,Aktulu K.Surgical treatment of displaced radial neck fractures in children with Metaizeau technique[J].Ulus Travma Acil Cerrahi Derg,2007,13(2):122-127.
[17] Schmittenbecher PP,Haevernick B,Herold A,et al.Treatment decision,method of osteosynthesis,and outcome in radial neck fractures in children:a multicenter study[J].J Pediatr Orthop,2005,25(1):45-50.
[18] Zimmerman RM,Kalish LA,Hresko MT,et al.Surgical management of pediatric radial neck fractures[J].J Bone Joint Surg Am,2013,95(20):1825-1832.
[19] Basmajian HG,Choi PD,Huh K,et al.Radial neck fractures in children:experience from two level-1 trauma centers[J].J Pediatr Orthop B,2014,23(4):369-374.
[20] Waters PM,Stewart SL.Radial neck fracture nonunion in children[J].J Pediatr Orthop,2001,21(5):570-576.
[21] Song KS,Kim BS,Lee SW.Percutaneous leverage reduction for severely displaced radial neck fractures in children[J].J Pediatr Orthop,2015,35(4):e26-30.

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备注/Memo

备注/Memo:
2015-09-23收稿 2015-11-05修回
更新日期/Last Update: 2015-12-30