钛弹力钉治疗儿童尺桡骨下1/3双骨折Titanium elastic nail treatment for distal 1/3 fractures of radius and ulna in children
唐坚;孙月华;李慧武;严孟宁;李华;朱振安;侯筱魁;
摘要(Abstract):
[目的]探索儿童尺桡骨下1/3双骨折的微创治疗方法。[方法]采用经皮钛弹力钉下行插钉技术治疗尺桡骨下1/3骨折15例,年龄4~12岁,平均7.4岁,随访4个月~2 a,平均随访12.4个月。[结果]1例插钉过程中钉头穿透骨皮质,1例术后出现钉尾皮肤激惹,所有病例术后活动功能优良。[结论]合理运用微创插钉技术,使用钛合金为材料的弹性髓内钉固定儿童尺桡骨下1/3骨折,可以取得满意的手术效果。
关键词(KeyWords): 弹力钉;内固定;微创;儿童尺桡骨折
基金项目(Foundation):
作者(Author): 唐坚;孙月华;李慧武;严孟宁;李华;朱振安;侯筱魁;
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DOI:
参考文献(References):
- [1]Prevot J,Lascombes P,Ligier JN.The ECMES(Centro-Medullary E-lastic Stab ilising W iring)osteosynthesis method in limb fractures inchildren.Principle,application on the femur.Apropos of 250 fracturesfollowed-up since 1979[J].Chirurgie,1993,119(9):473-476.
- [2]Huber R I,KellerHW,Huber PM,et al.Flexib le intram edu llarynailing as fracture treatm ent in ch ildren[J].J Ped iatr O rthop,1996,16:602-605.
- [3]Metaizeau JP.Stable elastic intramedullary nailing for fractures of thefemur in children[J].J Bone Joint Surg(Br),2004,86(7):954-957.
- [4]HeybeliM,MuratliHH,Celeb i L,et al.The resu lts of intram edu l-lary fixation w ith titan ium elastic nails in ch ildren w ith femoral frac-tures[J].Acta O rthop Traumatol Turc,2004,38(3):178-187.
- [5]Jubel A,Andermahr J,Sch iffer G,et al.E lastic stab le intram edu l-lary nailing of m idclavicu lar fractures w ith a titan ium nail[J].C linO rthop Relat Res,2003,408:279-285.
- [6]R ichter D,Ostermann PA,Ekkernkamp A,et al.E lastic intram edu l-lary nailing:a m in imally invasive concept in the treatm ent of unstab leforearm fractures in ch ildren[J].J Ped iatr O rthop,1998,18(4):457-461.
- [7]陈博昌,王南刚,杨杰,等.弹性髓内钉交叉固定治疗儿童长骨骨折[J].中国矫形外科杂志,2003,9:598-600.
- [8]Jubel A,Andermahr J,Isenberg J,et al.Outcom es and complica-tions of elastic stab le intram edu llary nailing for forearm fractures inch ildren[J].J Ped iatr O rthop B,2005,14(5):375-380.
- [9]Yuan PS,PringME,Gaynor TP,et al.Compartm ent syndrom e fol-low ing intram edu llary fixation of ped iatric forearm fractures[J].J Ped-iatr O rthop,2004,24(4):370-375.
- [10]Narayanan UG,Hyman JE,W ainwrightAM,et al.Complications ofelastic stab le intram edu llary nail fixation of ped iatric femoral fractures,and how to avoid them[J].J Ped iatr O rthop,2004,24(4):363-369.