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)：
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