改良Metaizeau法治疗JudetⅢ/Ⅳ型儿童桡骨颈骨折的临床观察 |
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投稿时间:2018-01-24 修订日期:2018-09-19
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期刊信息:《中国骨伤》年,第卷,第期,第-页 |
DOI: |
基金项目:浙江省舟山市卫生局科技计划项目(2015B05) |
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中文摘要:【】目的:探讨改良Metaizeau法治疗JudetⅢ/Ⅳ型儿童桡骨颈骨折的临床疗效,总结其临床应用价值。方法:从2014年5月~2017年3月收治 Judet Ⅲ/Ⅳ型儿童桡骨颈骨折患者32例,男21例、女11例,年龄5.7~10.6岁,平均7.2岁。全部在经皮克氏针撬拨复位辅助下,行弹性髓内针固定,观察术后早期并发症、骨折愈合时间、桡骨头骨骺早闭、骨折复位效果及肘关节功能恢复情况。结果:所有病例获得术后随访,随访时间8~15个月,平均11个月。术后患儿均未出现切口感染、钉尾刺激、桡骨小头坏死等并发症。术后10周骨折均骨性愈合。根据Metaizeau骨折复位评定标准,优28例,良3例,优秀率93.75%。根据Metaizeau肘关节功能评定标准,优30例,良2例,优良率100%。结论:改良Metaizeau法治疗儿童桡骨颈骨折,创伤小,并发症少,骨折愈合率高,值得在临床进一步推广应用。 |
【关键词】改良Metaizeau法 弹性髓内钉 桡骨颈骨折 临床观察 |
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Clinical research of improved Metaizeau’s techniquein treatment of radial neck fractures in children |
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ABSTRACT Objective:To explore the clinical effect of improved Metaizeau’s technique for radial neck fractures in children(Judet Ⅲ/Ⅳ),summarizing the value of clinical application. Methods: From May 2014 to March 2017,32 children of Judet type Ⅲ or Ⅳ radial neck fractures were randomly selected,including 21 boys and 11 girls,aged from 5.7 years to 10.6 years with a mean of 7.2 years,and all were treated with percutaneous Kirschner wire poking reduction and the closed reduction with elastic intramedullary nailing fxation. The early complications,fracture reduction,fracture healing time,whether or not early closure of radial head epiphysis and elbow joint function were observed after operation.Result: All patients were available for an average follow-up of 11 months(from 8 to 15 months).No complication,such as incision infection,wire or nail tail irritation and avascular necrosis of radial head and epiphyses was occurred.The fracture achieved solid healing at 10 weeks after operation in any children.According to Metaizeau’s criteria for the fracture reduction:28 cases were evaluated as excellent,good 3 cases,fair 1 cases,and the assessment was the excellent and good in 96.88%.Basing on Metaizeau’s criteria for elbow function:30 cases were evaluated as excellent,good 2 cases,and the assessment was the excellent in 93.75%.Conclusion: Improved Metaizeau’s technique is a reliable and good treatment for Judet type III/IV radial neck fractures in children,which has advantages of minimal invasion,few complication and quick fracture union.It is worthy of?clinical application. |
KEY WORDS Improved Metaizeau’s technique Elastic intramedullary nailing radial neck fracture Clinical study |
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