经皮克氏针髓内固定治疗儿童尺桡骨骨折

<正>尺桡骨骨折是儿童常见的骨折,大多数采用保守治疗可取得良好的效果,但是对于手法复位不能获得满意对位对线或不能维持复位的,仍需手术治疗。2009年10月~2012年10月,我们采用麻醉下闭合复位(必要时有限切开复位),经皮克氏针髓内固定治疗儿童尺桡骨骨折69例,效果满意,报道如下。1材料与方法 1.1病例资料本组69例,男49例,女20例,年龄4岁2个月~14岁。均为新鲜骨折,其中闭合骨折66例,开放骨折3例     

经皮穿针闭合复位治疗儿童尺桡骨骨折

2004年3月～2008年4月,我院应用闭合穿针髓内固定治疗儿童尺桡骨骨折 60例, 取得了满意的疗效. 1 材料与方法 1.1 病例资料 本组60例,男39例,女21例,年龄5～14岁.新鲜骨折49例,陈旧性骨折(14～21 d)11例.均为闭合性骨折.骨折类型: 尺桡骨双骨折45例, 单纯尺骨骨折8例, 单纯桡骨骨折7例.不稳定骨折直接采用手术治疗41例, 手法复位失败改用手术治疗8例, 手法复位石膏固定后再次移位11例.受伤至手术时间1～21 d.     

儿童尺桡骨近端双骨折治疗分析

儿童尺桡骨近端双骨折损伤机制复杂、复位要求较高、缺乏独立名称。自2000年4月～2002年9月共收治13例，效果满意。报告如下。     

微型可吸收钉治疗MasonⅡ、Ⅲ型桡骨头骨折

2006年1月～2011年12月,笔者采用切开复位微型可吸收螺钉内固定治疗40例MasonⅡ、Ⅲ型桡骨头骨折患者,取得满意疗效。1材料与方法1.1病例资料本组40例,男26例,女14例,年龄18～65岁。     

微型外固定系统治疗儿童尺桡骨远端骨折

2003年5月-2006年6月，我们应用微型外固定系统治疗儿童尺桡骨远端骨折14例，术后获得了满意的疗效。     

摇摆反折手法治疗儿童尺桡骨远端骨折背向移位

儿童尺桡骨远端骨折背向移位临床上一般按克雷斯骨折伸直型处理,若单纯牵引、尺偏掌屈腕关节,往往不能成功。本人自１９９３年开始采用摇摆、反折手法治疗儿童尺桡骨远端骨折背向移位８４例,均一次成功,达到解剖复位,现报告如下。临床资料本组８４例中男５６例,女２...     

尺桡骨远近端骨折合并上下桡尺关节损伤

尺桡骨远近端骨折合并上下桡尺关节损伤２８例，采用以肘关节为中心的治疗原则，取得了满意疗效。并提出了前臂双极性骨折的新概念。     

尺桡骨骨折治疗分析

目的探讨尺桡骨骨折治疗方法及效果。方法回顾性分析我院2003年2月至2010年6月接诊收治尺桡骨骨折58例,保守治疗或手术治疗,术后辅助石膏托外固定。随访并指导康复锻炼,评价骨折复位、内固定结构、骨折愈合及关节功能康复情况。结果本组均获随访,随访时间5～45个月,平均15.7个月。前臂及肘腕关节功能按An-derson评分标准评定：优42例,良11例,可5例。结论儿童及成人闭合性尺桡骨折首选手法复位外固定,手法复位不理想则采取切开复位内固定,开放性骨折采用穿针或外架固定,必要时用封闭负压吸引;积极处理关节脱位。     

可吸收钉棒治疗粉碎性桡骨头骨折

目的探讨可吸收钉棒治疗粉碎性桡骨头骨折的疗效。方法对21例MasonⅢ、Ⅳ型桡骨头骨折患者施行切开复位可吸收钉棒内固定。结果 21例均获随访,时间5～35（20.5±9.6）个月,按B roberg和Morrey的肘部评分标准评判：优6例,良13例,可2例。结论可吸收钉棒治疗粉碎性桡骨头骨折操作简便,疗效确切,不需二次手术,具有临床优势。     

闭合复位弹性髓内针治疗儿童尺桡骨骨折

2008年6月-2013年6月,我科应用闭合复位弹性髓内针治疗38例儿童尺桡骨骨折患儿,疗效满意,报道如下。1．1病例资料本组38例,男27例,殳11例,年龄5—13岁。左侧12例,右侧26例。并发张力性水疱8例,合并其他部位骨折12例。受伤至手术时间2-6d。     

自身增强可吸收内固定物交锁治疗前臂骨折

1998年12月-2001年4月,根据交锁髓内针固定原理,采用芬兰产BIOFIX自身增强可吸收内固定物行交锁内固定手术治疗前臂骨折12例,疗效满意.     

Fixation of metacarpal fractures using absorbable hemi-cerclage sutures

We retrospectively reviewed the use of biodegradable hemi-cerclage sutures in the treatment of 79 metacarpal fractures in 66 patients. The polyglycolic acid hemi-cerclages achieved sufficient fracture fixation to permit early motion exercises, but fractures were also immobilized for a mean of 3.7 (range, 1.5-6) weeks postoperatively, during which time physiotherapy was given. Adequate bony stability was achieved after a mean of 4.5 (range, 3.5-7) weeks and fracture redisplacement occurred in only one case.     

Diaphyseal fractures of the radius and ulna in adults

Diaphyseal fractures involving the radius and ulna, so called "both-bone" or "double-bone" forearm fractures are common orthopedic injuries. These injuries can result in significant loss of function if inadequately treated. As the upper extremity serves to position the hand in space, loss of forearm motion and/or muscle imbalance resulting from a poorly treated fracture can be particularly debilitating. Preservation of the anatomic relationships of the proximal and distal radioulnar joints as well as the interosseous space is critical to preserving function. This article overviews the management of diaphyseal fractures of the radius and ulna in adults.     

Segmental radius and ulna fractures with scaphocapitate fractures and bilateral multiple epiphyseal fractures

Segmental forearm fractures are rare in children, and management is controversial. Epiphyseal injuries further complicate matters. We report the case of a 15-year-old boy who had segmental radius and ulna fractures with a coronal split of a metaphyseal fragment, along with bilateral epiphyseal fractures of the distal radius and ulna as well as ipsilateral scaphocapitate fractures with perilunate dislocation. There was also a contralateral fracture through the radial neck. The patient underwent immediate internal fixation of the forearm fractures and delayed fixation of the scaphocapitate fractures. Results at 12 months showed excellent functional outcome.     

Extra-articular low-velocity gunshot fractures of the radius and ulna.

Low-velocity gunshot fractures of the forearm are complex injuries and previously published studies have not emphasized the problems particular to these forearm lesions. Of the twenty-nine patients in this series, thirteen had peripheral nerve injuries, three had impending Voklmann's ischemia, and ten had delayed union or malunion of fractures after treatment by closed methods. Only thirteen had none of these problems. Eight patients had long-term disability resulting either from permanent nerve damage with loss of sensation or weakness of grip, or from significant loss of motion following delayed union or malunion. Although external fixation was adequate for undisplaced fractures, delayed (seven to fourteen days) primary internal fixation after the initial phase of wound healing had proved benign gave superior results in displaced fractures.     

改良折顶法治疗尺桡骨中下段双骨折

目的：观察改良折顶正骨手法在儿童及青少年尺桡骨中下段双骨折治疗中的效果。方法：尺桡骨双骨折52例，男42例，女10例；年龄1—15岁，平均12岁。下1／3段40例，中1／3段12例，均根据骨折移位情况采用正向折顶和斜向折顶、小夹板外固定治疗，观察其临床效果。结果：52例随访4个月-2年，按尺桡骨双骨折疗效标准，尺桡骨下1／3段双骨折整复成功40例，其中治愈39例；中1／3段骨折整复成功11例，其中治愈10例。结论：改良正骨手法治疗儿童及青少年尺桡骨中下段双骨折具有整复容易、固定可靠等优点。