论文部分内容阅读
目的探讨应用外固定支架治疗儿童前臂远端双骨折的可行性及临床应用价值。方法前臂远端骨折患儿14例,均为尺桡骨完全骨折;开放性骨折6例,闭合性骨折8例。采用外固定支架固定或结合有限内固定进行治疗。结果术后随访4～43个月,平均12.7个月。X线片显示骨折全部愈合,骨折愈合时间为6～8周,平均6.9周;尺桡骨轴向无短缩;骨间距恢复;无骨不连、骨折畸形愈合或交叉骨性愈合等。对患儿肘、腕关节和前臂的活动度以及患肢肌肉力量测量并进行功能评定:优11例(78.6%),良3例(21.4%)。未发生医源性神经血管损伤、感染、螺钉松脱、骨折再移位、再骨折等并发症。结论对儿童前臂远端双骨折畸形矫正能力应进行综合判断;对开放性骨折、不稳定性骨折、不能耐受闭合复位、不能接受闭合复位、闭合复位失败以及再发移位的患儿,采用外固定支架进行短期固定后辅以石膏外固定,是一种操作简单、安全、损伤小、疗效好的治疗方法。
Objective To investigate the feasibility and clinical value of external fixator in treatment of distal double fracture of children forearm. Methods Fourteen children with distal fractures of the forearm were all complete fractures of radius and ulna, with 6 open fractures and 8 closed fractures. External fixation using fixed or limited internal fixation for treatment. Results The patients were followed up for 4 to 43 months with an average of 12.7 months. X-ray showed that all the fractures were healed. The fracture healing time was 6 to 8 weeks (average 6.9 weeks). There was no axial shortening of the ulna and radius, and the interosseous distance was recovered. There was no nonunion, fracture malunion or cross bony union. The elbow, wrist and forearm mobility and limb muscle strength measurements and functional assessment of children: excellent in 11 cases (78.6%), good in 3 cases (21.4%). No iatrogenic neurovascular injury, infection, screw loosening, fracture re-displacement, and then complications such as fractures. Conclusions The ability of orthodontic treatment of distal double fracture in children with forearm should be evaluated comprehensively. For children with open fractures, unstable fractures, unacceptable closed reduction, unacceptable closed reduction, failed closed reduction and retransmission, External fixation after short-term fixation with plaster external fixation, is a simple, safe, less damage, good curative effect.