弹性髓内钉治疗儿童桡骨颈骨折

目的：探讨应用弹性髓内钉治疗儿童桡骨颈骨折的疗效。方法：2006年7月至2011年12月，采用弹性髓内钉治疗25例桡骨颈骨折患者，其中男16例，女9例；年龄7～15岁，平均10．7岁；按照Judet分型：Ⅱ型6例，Ⅲ型17例，Ⅳ型2例（Ⅳa型1例，1Vb型1例）。术后记录患儿桡骨颈骨折愈合情况，肘关节的疼痛、畸形和活动范围。结果：所有患儿获随访，时间6～24个月，平均14个月。25倒桡骨颈骨折均获得良好愈合。按照Tibone-Stoltz的临床功能评定标准，优18例，良4例，中3例。结论：弹性髓内钉治疗儿童桡骨颈骨折手术操作简单，创伤小，疗效良好。

Treatment of radial neck fracture in children with elastic stable intramedullary nails

To investigate effects of elastic stable intramedullary nails for the treatment of radial neck fracture in children. Methods：From July 2006 to December 2011,25 children with radical neck fractures ,which included 16 males and 9 females aged from 7 to 15 years old （means 10.7 ）, were treated with elastic stable intramedullary nails. According to Judet classification ,6 cases were type ]I , 17 cases were type m and 2 cases were type 1V （including 1 ease with type IVa and 1 case with type IV b）. The fracture healing, pain, deformity and range of motion of elbow were recorded. Results： All patients were followed up for 6 to 24 months with an average of 14 months. Twenty-five patients were obtained bone healing. According to Tibone and Stohz evaluation standard, 18 cases got exeellet results,4 cases in good and 3 cases in moderate. Conclusion：E lastic stable intramedullary nails for the treatment of radial neck fracture in children has advantages of simple operation ,less trauma and good results.