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[1]劉昕,鄧志強,葉家軍.撬撥復位彈性髓內(nèi)釘固定治療JudetⅣ型兒童橈骨頸骨折[J].中醫(yī)正骨,2015,27(12):65-67.
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撬撥復位彈性髓內(nèi)釘固定治療JudetⅣ型兒童橈骨頸骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年12期
頁碼:
65-67
欄目:
臨床報道
出版日期:
2015-12-30

文章信息/Info

作者:
劉昕鄧志強葉家軍
四川省骨科醫(yī)院,四川 成都 610041
關(guān)鍵詞:
橈骨骨折 骨折固定術(shù)髓內(nèi) 兒童
摘要:
目的:觀察撬撥復位彈性髓內(nèi)釘固定治療JudetⅣ型兒童橈骨頸骨折的臨床療效和安全性。方法:2008年2月至2015年2月,采用撬撥復位彈性髓內(nèi)釘固定治療JudetⅣ型兒童橈骨頸骨折患者26例,男19例、女7例。年齡5~14歲,中位數(shù)9歲。均為閉合性骨折,其中左側(cè)5例、右側(cè)21例。合并尺骨鷹嘴骨折3例、肱骨內(nèi)上髁骨折1例。受傷至手術(shù)時間8 h至19 d,中位數(shù)3 d。術(shù)后隨訪觀察骨折愈合、并發(fā)癥發(fā)生及患肢功能恢復情況。結(jié)果:所有患者均獲隨訪,隨訪時間6~24個月,中位數(shù)11個月。均達到解剖復位。骨折均愈合,愈合時間4~7周,中位數(shù)5周。均未出現(xiàn)切口感染、橈骨頭發(fā)育畸形及橈骨頭壞死等并發(fā)癥。1例患者出現(xiàn)釘尾皮膚軟組織刺激癥狀,腕關(guān)節(jié)制動1周后癥狀消失。采用Tibone-Stoltz臨床功能評價標準評定療效,優(yōu)19例、良6例、中1例。結(jié)論:撬撥復位彈性髓內(nèi)釘固定治療JudetⅣ型兒童橈骨頸骨折,具有創(chuàng)傷小、骨折復位好、愈合率高、患肢功能恢復良好、并發(fā)癥少等優(yōu)點,值得臨床推廣應用。

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備注/Memo

備注/Memo:
2015-09-23收稿 2015-11-05修回
更新日期/Last Update: 2015-12-30