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目的探讨张力带别针系统在儿童尺骨鹰嘴骨折治疗中的应用价值。方法收集我院2013年10月至2014年9月尺骨鹰嘴骨折患儿共18例,其中男性12例,女性6例,年龄5~13岁,平均8.6岁,均采用骨折切开复位张力带别针系统内固定术,术后定期随访。结果 18例患者均得到随访,随访时间6~14个月,平均8个月。尺骨鹰嘴骨折均得到骨性愈合,根据Weseley等的评价标准进行疗效评价:优15例,良2例,可1例,优良率94.4%。结论张力带别针系统应用于儿童尺骨鹰嘴骨折既保留了克氏针张力带系统治疗的优点,又具有操作方便、并发症少、肘关节功能恢复良好等优势,临床疗效满意,可行临床推广应用。
Objective To investigate the value of tension band pin system in the treatment of olecranon fracture in children. Methods A total of 18 children with olecranon fracture in our hospital from October 2013 to September 2014 were collected, including 12 males and 6 females, aged from 5 to 13 years (mean, 8.6 years). All patients underwent open reduction and tension band Pin system internal fixation, regular follow-up. Results 18 patients were followed up for 6 to 14 months with an average of 8 months. Olecranon fractures were obtained bony union, according to Weseley and other evaluation criteria for the evaluation of the efficacy: excellent in 15 cases, good in 2 cases, fair in 1 case, good rate of 94.4%. Conclusion The application of tension band pin system in the treatment of children olecranon fractures not only retains the advantages of Kirschner wire tension band system, but also has the advantages of convenient operation, less complications and good elbow joint function recovery. The clinical curative effect is satisfactory and the clinical application is feasible .