弹性髓内钉治疗儿童前臂骨折的疗效评价

目的:通过使用弹性髓内钉治疗患儿前臂骨折,评价其对骨折术后功能恢复的影响。方法:2005年至2011年90例移位的患儿前臂骨折,其中8例开放性骨折,77例双前臂骨折。均采用手法或开放复位,弹性髓内钉内固定,并随访平均6.6个月。结果:骨折全部愈合,愈合时间平均2.9个月。功能评价优秀或良好76例(84%),并发症包括8例创口相关并发症,1例桡神经浅支麻痹,1例畸形愈合和1例术后骨筋膜室综合征。骨折愈合率与患儿骨折部位之间无统计学意义。结论:弹性髓内钉技术在儿童前臂骨折中是一种容易使用的,预后良好的治疗技术。

Treatment for pediatric fractures of the forearm by elastic intramedullary nailing

Objective:To evaluate the functional recovery through the use of an elastic intramedullary nail in treatment of pediatric forearm fractures.Methods:Results of 90 consecutive children with displaced fractures of the forearm treated by elastic stable intramedullary nailing with a mean follow-up of 6.6 months were presented.Eight had open fractures and 77 had sustained a fracture of both bones.Results: All fractures healed at a mean of 2.9 months.An excellent or good functional outcome was achieved in 76 patients.Complications included eight cases of problematic wounds,two transient palsies of the superficial radial nerve,and one case each of malunion and a post-operative compartment syndrome.Healing rate of the forearm fracture had no significant differences with the bone site.Conclusion: Findings indicate that the functional outcome following pediatric fractures of the forearm treated by elastic stable intramedullary nailing is good.