弹性髓内针治疗儿童桡骨颈骨折Treatment of radial neck fracture with elastic stable intramedullary nail
钱驭涛;王玉琨;张建立;郭源;田伟;
摘要(Abstract):
[目的]探讨使用弹性髓内针(elastic stable intramedullary nail,ESIN)治疗儿童桡骨颈骨折的效果及并发症。[方法]从2005年3月~2008年2月应用M啨taizeau方法(ESIN)共治疗35例儿童桡骨颈骨折。男21例,女14例,年龄5~13岁,平均9岁6个月。其中Judet分度Ⅱ度7例、Ⅲ度22例、Ⅳa度5例,Ⅳb度1例。桡骨颈合并其他部位骨折共12例。[结果]35例均获得随访,平均随访时间8.5个月(6~17个月)。术后功能评价25例为优良,7例为中,3例为差,优良率为71.4%。9例术后出现桡骨头骺缺血改变,其中5例桡骨头骺变形膨大,1例出现关节周围异常钙化,2例发生迟延愈合。[结论]ESIN治疗儿童桡骨颈骨折是一种操作简单且微创的方法,主要适用JudetⅢ°骨折,总体效果优良,并发症少。
关键词(KeyWords): ESIN;儿童;桡骨颈骨折
基金项目(Foundation):
作者(Author): 钱驭涛;王玉琨;张建立;郭源;田伟;
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参考文献(References):
- [1]Prathapkumar KR.Elastic stable intramedullary nail fixation for se-verely displaced fractures of the neck of the radius in children[J].JBone J Surg(Br),2006,88:358-361.
- [2]Souza SD.Management of radial neck fractures in children:a retro-spective analysis of one hundred patients[J].J Pediatr Orthop,1993,13:232-238.
- [3]Peter PS.Treatment decision,method of osteosynthesis and outcomein radial neck fractures in children:a multicenter study[J].J PediatrOrthop,2005,25:45-50.
- [4]Gonzalez Herranz P.Displaced radial neck fractures in children trea-ted by closed intramedullary pinning(Metaizeau technique)[J].J Pe-diatr Orthop,1997,17:325-331.
- [5]Metaizeau JP.Reduction and fixation of displaced radial neck frac-tures by closed intramedullary pinning[J].J Pediatr Orthop,1993,13:355-360.
- [6]Stiefel D.Fractures of the neck of the radius in children[J].J BoneJ Surg(Br),2001,83:536-541.
- [7]Radomisli TE.Controversies regarding radial neck fractures in chil-dren[J].Clin Orthop,1998,18:30-39.
- [8]谢丰,俞辉国.Metaizeau法治疗儿童桡骨颈骨折的初步体会[J].中华小儿外科杂志,2005,26:369-371.
- [9]Tibone JE.Fractures of the radial head and neck in children[J].JBone J Surg(Am),1981,63:100-106.
- [10]姜星明,王红建.弹性髓内钉治疗儿童桡骨颈骨折[J].实用骨科杂志,2008,14:287-288.
- [11]Danyal H,Nawabi.Centromedullary pinning of radial neck fractures:length matters[J].J Pediatr Orthop,2006,26:278-279.
- [12]李守民,徐从波.台阶型钢橇整复移位性桡骨颈骨折[J].中国矫形外科杂志,1999,6:367.