摘要
目的对钛制弹性髓内钉(TEN)治疗小儿四肢长干骨骨折术中及术后可能出现的并发症进行分析,以便改进TEN治疗小儿骨折的手术细节,减少并发症的发生率。方法2005年1月-2008年1月本院骨科使用TEN治疗儿童四肢骨折182例,通过回顾分析患儿的术中和术后情况以及并发症,根据Flynn提出的髓内钉治疗骨折的评分标准评估患儿治疗效果。结果182例均达到骨性愈合。术中出现骨皮质劈裂3例,髓内钉进入骺板1例;术后3例皮肤激惹反应,2例骨折愈合时间延长,膝关节活动受限、弯钉各1例,取钉困难10例,患肢短缩2例,再骨折1例。治疗效果:优173例,良6例,可3例,优良率为98%。结论TEN治疗小儿四肢骨折既有优势,也会出现一些并发症。该技术闭合复位,切口小,创伤小,操作方便,固定可靠,骨折愈合快,并发症少,拔钉简单,特别适合小儿长管状骨骨折的内固定。
Objective To analyze the complications during and after the surgical treatment for long bone fractures in children with titanic elastic intramedullary nail （TEN）, in order to improve the technique and potential shortcomings in these surgeries, and reduce the incidence of complications. Methods A retrospective study was done on the 182 children with long bone fractures treated with TEN from Jan. 2005 to Jan. 2008. A summary and analysis was made on the complications of these cases. Results All the 182 cases had the bones healed. During the operation, split in bone cortex was found in 3 cases,penetration into epiphysis by nails was found in 1 case. After operations,irritated skin and exposed nail was found in 3 cases, prolonged bone healing in 2 cases,limitation of range of motion in the knee in 1 case, bent nail in 1 case, difficulty in retracting the nail in 10 cases,shortening in 2 cases,second fracture of the healed long bone in 1 case. The results were excellent in 173 cases, good in 6 and fair in 3, and the rate of excellent and good was 98 %. Conclusions Though it has certain complications, the technique of TEN in the treatment of children＇s long bone fractures has more advantages over other internal fixations. Carefully performing the procedure according to the principal of TEN can decease and prevent most of these complications.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2009年第12期956-958,共3页
Journal of Applied Clinical Pediatrics
关键词
弹性髓内钉
骨折
并发症
儿童
titanic elastic stable intramedullary nail
bone fracture
complication
child
