| 微创复位尺骨双皮质成角髓内固定治疗BadoⅠ型儿童孟氏骨折 |
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投稿时间：2023-07-18
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| 作者 | Author | 单位 | Address | E-Mail |
| 张传维 |
ZHANG Chuan-wei |
河南省洛阳正骨医院郑州院区小儿骨科, 河南 郑州 450016 |
Pediatric Orthopaedics, Zhengzhou Hospital, Luoyang Bonesetter Hospital, Zhengzhou 450016, Henan, China |
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| 陈登山 |
CHEN Deng-shan |
河南省洛阳正骨医院郑州院区小儿骨科, 河南 郑州 450016 |
Pediatric Orthopaedics, Zhengzhou Hospital, Luoyang Bonesetter Hospital, Zhengzhou 450016, Henan, China |
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| 王磊 |
WANG Lei |
河南省洛阳正骨医院郑州院区小儿骨科, 河南 郑州 450016 |
Pediatric Orthopaedics, Zhengzhou Hospital, Luoyang Bonesetter Hospital, Zhengzhou 450016, Henan, China |
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| 丁幸坡 |
DING Xing-po |
河南省洛阳正骨医院郑州院区小儿骨科, 河南 郑州 450016 |
Pediatric Orthopaedics, Zhengzhou Hospital, Luoyang Bonesetter Hospital, Zhengzhou 450016, Henan, China |
dingxingpo@163.com |
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| 期刊信息：《中国骨伤》2025年，第38卷，第4期，第415-419页 |
| DOI：10.12200/j.issn.1003-0034.20230329 |
| 基金项目:河南省中医药科学研究专项课题(编号:2022ZY1113) |
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中文摘要:
目的: 微创复位尺骨双皮质成角髓内固定治疗BadoⅠ型儿童孟氏骨折的疗效分析。
方法: 回顾性分析自2018年8月至2020年8月收治的15例BadoⅠ型儿童新鲜孟氏骨折的临床资料。其中男11例,女4例;左侧5例,右侧10例;年龄4~12岁;其中尺骨上段骨折10例,中段5例;尺骨骨折线为横形或短斜形9例,长斜形或螺旋形6例。所有患儿采用微创复位尺骨双皮质成角髓内固定治疗。根据Mayo肘关节评分系统评定疗效。
结果: 15例患儿均获得随访,时间6~24个月。其中3例出现针尾激惹症,常规消毒换药,均愈合良好;余患儿均无桡骨小头再次脱位,无骨骺损伤,无骨筋膜室综合征、肘关节不稳等并发症。最后一次随访时记录肘关节疼痛、运动、稳定性和日常生活功能等;依据Mayo肘关节评分系统评定,优12例,良3例。
结论: 微创复位尺骨双皮质成角髓内固定治疗BadoⅠ型儿童新鲜孟氏骨折操作简单,临床疗效满意。 |
| 【关键词】孟氏骨折 双皮质 微创复位 |
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| Minimally invasive reduction of ulnar bicortex angulation and intramedullary fixation in the treatment of Bado type Ⅰchildren with Monteggia fracture |
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ABSTRACT
Objective To evaluate the effectiveness of minimally invasive reduction and ulna bicortical angulation intramedullary fixation in the management of Bado typeⅠMonteggia fracture in pediatric patients.
Methods Between August 2018 and August 2020,the clinical data of 15 pediatric patients diagnosed with Bado typeⅠfresh Monteggia fracture were retrospectively analyzed. There were 11 males and 4 females. The left side was implicated in 5 cases,while the right side was involved in 10 cases. The age ranged from 4 to 12 years old. There were a total of 10 cases of upper ulna fractures and 5 cases of middle ulna fractures. Among these,the ulnar fracture line presented as transverse or short oblique in 9 cases,and long oblique or spiral in 6 cases. The pediatric patients underwent treatment utilizing minimally invasive reduction and ulna bicortical angulation intramedullary fixation. The effectiveness of the treatment was assessed based on the Mayo elbow scoring system.
Results The follow up period for all 15 cases ranged from 6 to 24 months. Among them,the occurrence of needle tail irritation was observed in 3 cases,all of which exhibited satisfactory healing following routine disinfection and dressing change. The other children had no re dislocation of the radial capitulum,no epiphyseal injury,no osteofascial compartment syndrome,elbow instability and other complications. The degree of limitation of daily life,range of motion of joints,pain level and appearance of limbs were recorded at the last follow up. According to Mayo elbow scoring system,12 cases were excellent and 3 cases were good.
Conclusion The minimally invasive reduction and ulna bicortical angulation intramedullary fixation technique is a simple and effective treatment for Bado typeⅠfresh Monteggia fractures in children. |
| KEY WORDS Monteggia fracture Bicortical Minimally invasive reduction |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张传维,陈登山,王磊,丁幸坡.微创复位尺骨双皮质成角髓内固定治疗BadoⅠ型儿童孟氏骨折[J].中国骨伤,2025,38(4):415~419 |
| 英文格式: | ZHANG Chuan-wei,CHEN Deng-shan,WANG Lei,DING Xing-po.Minimally invasive reduction of ulnar bicortex angulation and intramedullary fixation in the treatment of Bado type Ⅰchildren with Monteggia fracture[J].zhongguo gu shang / China J Orthop Trauma ,2025,38(4):415~419 |
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