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目的评价应用弹性髓内钉(elastic intramedulary,ESIN)治疗儿童(4~15岁)尺桡骨双骨骨折疗效.方法回顾分析2008年4月至2014年6月45例儿童尺桡骨双骨骨折患儿使用ESIN治疗.分析讨论手术技巧、术后治疗效果及并发症。术后随访分别于3个月、6个月,12个月36个月对患儿患肢进行X线拍片及前臂功能评分.结果随访24~30个月,45名患儿中愈合程度优38例,良7例.骨折愈合时间3~8个月,出现针尾皮肤激惹9例、术后骨折端轻度侧方移位3例、尺骨折延迟愈合1例.所有病例骨折端侧位对位率>50%,前后位对位率>90%.未出现ESIN折断、神经损伤、术后骨折严重移位、骨不连、严重软组织感染等并发症.结论应用ESIN治疗儿童尺桡骨双骨骨折是一种安全可行的手术方式,其具有手术技术要不高,创伤小,手术并发症少,不影响儿童骨骼生长、前臂功能恢复好等优点.
Objective To evaluate the effect of elastic intramedulary (ESIN) on the treatment of ulna and radius fractures in children (4 ~ 15 years old) .Methods Forty-five children with ulna and radius fractures were retrospectively analyzed from April 2008 to June 2014 Use ESIN therapy. Analyze and discuss surgical techniques, postoperative outcomes and complications. All the patients were followed up for 3 months, 6 months, 12 months and 36 months respectively.All patients were followed up for X-ray and forearm function scores.Results The follow-up of 24 to 30 months, 45 children with excellent degree of healing 38 Cases, good in 7. Fracture healing time of 3 to 8 months, there are 9 cases of acupuncture at the end of the skin irritation, postoperative lateral mild lateral displacement in 3 cases, ulnar fracture delayed healing in 1. All cases of fracture lateral There was no complications such as ESIN fracture, nerve injury, severe displacement of the postoperative fracture, nonunion and serious soft tissue infection.Conclusion The application of ESIN in treating children with ulna and radius double Fracture is a safe and feasible method of operation, which has the advantages of less invasive surgery, less trauma and fewer complications, does not affect the growth of children’s bones, and has good forearm recovery.