| 儿童陈旧孟氏骨折的治疗进展 |
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| 引用本文： | 李存,丁晓飞. 儿童陈旧孟氏骨折的治疗进展[J]. 中华小儿外科杂志, 2017, 0(7): 556-560. DOI: 10.3760/cma.j.issn.0253-3006.2017.07.016 |
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| 作者姓名： | 李存 丁晓飞 |
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| 作者单位： | 广西医科大学第一附属医院创伤骨科手外科,南宁,530021 |
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| 基金项目： | 广西自然科学基金项目(2010GXNSFA013161)Guangxi Provincial Natural Science Foundation of China (2010GXNSFA013161) |
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| 摘 要： | 儿童孟氏骨折由于各种原因的漏诊、误诊常发展为陈旧骨折,严重影响肘关节生长发育.目前对陈旧孟氏骨折的研究报道很多,治疗方法多样,但尚缺少规范化的治疗标准.本文通过检索国内外文献,对儿童陈旧孟氏骨折的手术治疗及术后并发症作一综述.尺骨截骨联合切开复位以及根据术中情况决定是否实施环状韧带重建是目前广泛采用并且有效的手术治疗措施,术后并发症主要为桡骨头半脱位、关节活动受限.
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| 关 键 词： | 孟氏骨折 陈旧性骨折 治疗 |
Progress in therapies of aged Monteggia fracture in children |
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| Li Cun,Ding Xiaofei. Progress in therapies of aged Monteggia fracture in children[J]. Chinese Journal of Pediatric Surgery, 2017, 0(7): 556-560. DOI: 10.3760/cma.j.issn.0253-3006.2017.07.016 |
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| Authors: | Li Cun Ding Xiaofei |
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| Abstract: | Monteggia fracture often develops into aged Monteggia fracture due to various causes of neglected or missed diagnosis.And it affects seriously the growth and development of elbow joint.Therapy of aged Monteggia fracture has been extensively reported.However,there is a lack of specific guidelines.This systematic review offers an overview of surgical managements and postoperative complications of aged Monteggia fracture in children.Ulnar osteotomy plus open reduction with or without reconstruction of annular ligament is effective and widely applied in clinical practice.Radial head subluxation and joint motion limitation are two major postoperative complications. |
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| Keywords: | Monteggia fracture Old fracture Therapy |
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