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弹性髓内针治疗儿童桡骨颈骨折
引用本文:李世清,张韶民,王庆生,李博文. 弹性髓内针治疗儿童桡骨颈骨折[J]. 临床骨科杂志, 2016, 0(6). DOI: 10.3969/j.issn.1008-0287.2016.06.033
作者姓名:李世清  张韶民  王庆生  李博文
作者单位:河南平顶山平煤神马医疗集团总医院创伤二区,河南 平顶山,467000
摘    要:目的评价弹性髓内针治疗儿童桡骨颈骨折的疗效。方法采用弹性髓内针治疗25例桡骨颈骨折患儿。结果患儿均获得随访,时间8~16个月。2例术后出现桡骨头骺缺血改变,1例发生关节周围异常钙化。根据Métaizeau功能评定标准对患儿肘关节活动进行评定:优11例,良10例,中3例,差1例,优良率为21/25。结论恰当使用弹性髓内针治疗儿童桡骨颈骨折,具有骨折愈合率高、并发症少等优点。

关 键 词:髓内针  桡骨颈骨折  儿童

Elastic intramedullary nails in treatment of radial neck fractures in children
Abstract:Objective To evaluate the clinical effects of titanium elastic intramedullary nails( TEIN) for radial neck fractures in children. Methods A retrospective study was applied in 25 children with displaced radial neck frac-tures, which were treated with TEIN. Results All cases were successfully followed up for 8~16 months. Avascular necrosis was found in 2 cases,1 case showed ossification. According to Métaizeau function evaluation:11 cases were evaluated as excellent, good 10 cases,fair 3 cases,poor 1 case,the excellent and good rate was 21/25. Conclusions Treatment of radial neck fractures in children with TEIN has advantages of quick fracture union and few complica-tion.
Keywords:intramedullary nails  radial neck fracture  children
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