尺骨截骨矫形关节囊松解紧缩治疗儿童陈旧性孟氏骨折 |
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投稿时间:2018-01-22 修订日期:2018-03-20
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期刊信息:《中国骨伤》年,第卷,第期,第-页 |
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中文摘要:目的 探讨儿童陈旧性孟氏骨折的手术治疗经验及治疗效果。方法 选取2013年1月至2017年12月在本院治疗的32例陈旧性孟氏骨折,进行回顾性分析。其中男18例,女14例;年龄2-9岁,平均5.3岁,均无桡神经损伤症状。作尺骨脊后方切口,在尺骨成角畸形最明显处行额状面长斜形截骨,然后采用Boyd切口显露肱桡关节及上尺桡关节,清理关节内的疤痕组织,复位桡骨头,并在维持肘关节稳定的前提下,对尺骨截骨处进行处理,予钢板螺钉内固定。32例患儿均随访,随访时间为12-24个月,平均14.8个月,其中1例患儿出现术口感染。根据Mackay评定标准:优29例,良2例,差1例。X线:1例脱位,余复位稳定。术后肘关节屈伸功能和前臂旋转功能均较术前明显改善(P<0.05)。结果 尺骨截骨矫形、肘关节后关节囊松解、前关节囊紧缩是治疗儿童陈旧性孟氏骨折的有效方法。 |
【关键词】儿童 孟氏骨折 陈旧性骨折 治疗 |
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The treatment of ulna osteotomy and joint capsule release tight in Old Monteggia fracture in children |
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ABSTRACT Objective To explore the experience and effect of surgical treatment in Old Monteggia fracture in children. Methods To retrospectively analyzed 32 cases of Old Monteggia fracture in our hospital for treatment from January 2013 to December 2017. Among them, there were 18 males and 14 females, 2-9 years old, with an average of 5.3 years old. No symptoms of radial nerve injury were found. Use the ulna spine posterior incision, for frontal plane long oblique osteotomy in the most obvious place of ulnar angulation deformity, and then use the Boyd incision to expose humeroradial joint and proximal radioulnar joint.Clear intra-articular scar tissue, reduct the radial head, retify ulna osteotomy to the bone plate and screw fixation in the precondition of maintaining the stability of the elbow joint. All 32 cases were followed up for 12-24 months, with an average of 14.8 months, of which 1 cases had infection. According to the standard of Mackay evaluation, 29 cases were excellent, 2 were good, and 1 were poor. X-ray: 1 cases is of dislocation, the rest is stable. The flexion and extension function of the elbow joint and the function of the forearm rotation were significantly improved after the operation (P<0.05). Results Ulna osteotomy, elbow posterior capsular release, anterior capsule contraction is a effective method in the treatment of Old Monteggia fracture in children. |
KEY WORDS children old Monteggia fracture fracture treatment |
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