摘要
目的探讨经皮克氏针撬拨复位结合弹性髓内钉固定治疗儿童桡骨颈骨折的疗效。方法采用经皮克氏针撬拨复位结合弹性髓内钉固定治疗20例桡骨颈骨折患儿。术后采用Metaizeau标准评价复位质量及功能,比较患侧与健侧的关节活动度。结果患儿均获得1年随访。术后即刻采用Metaizeau标准评价复位质量:优18例,良2例。术后1例患儿出现钉尾皮肤软组织刺激症状,无其他并发症发生。术后1年,患侧肘关节屈曲、肘关节伸直、前臂旋前、前臂旋后与健侧比较差异均无统计学意义(P> 0.05);采用Metaizeau标准评价功能:20例均为优。结论经皮克氏针撬拨复位结合弹性髓内钉固定治疗儿童桡骨颈骨折创伤小、并发症少,可获得满意疗效。
Objective To investigate the effect of percutaneous Kirschner wire poking reduction combined with elastic intramedullary nailing in the treatment of radial neck fractures in children. Methods The 20 children with radial neck fractures were treated by percutaneous Kirschner wire poking reduction combined with elastic intramedullary nailing. The reduction quality and function were evaluated by Metaizeau standard after operation,and the range of motion of elbow joint between the affected side and the healthy side was compared. Results All patients were followed up for 1 year. The quality of reduction was evaluated by Metaizeau standard immediately after operation: the result was excellent in 18 cases and good in 2. One patient had irritation reaction of skin and soft tissue at the nail end,without other complications. At 1 year after operation,there were no significant differences in elbow flexion,extension,forearm pronation and forearm supination between the affected side and healthy side( P > 0. 05). The evaluation result assessed by Metaizeau functional criterion was that 20 cases were excellent. Conclusions Percutaneous Kirschner wire poking reduction combined with elastic intramedullary nail fixation in the treatment of radial neck fractures in children have less trauma and fewer complications,which can obtain satisfactory results.
作者
景孟军
茹正良
黄群
吴明义
JING Meng-jun;RU Zheng-liang;HUANG Qun;WU Ming-yi(SectionⅡ,Dept of Orthopaedics,the Third People′s Hospital of Cixi City,Ningbo,Zhejiang 315324,China)
出处
《临床骨科杂志》
2021年第4期545-548,共4页
Journal of Clinical Orthopaedics
关键词
桡骨颈骨折
克氏针
弹性髓内钉
儿童
radial neck fractures
Kirschner wire
elastic intramedullary nail
child
