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[目的]通过手术探讨儿童孟氏骨折桡骨头与环状韧带之间的病理关系,为预防桡骨头再脱位提供依据。[方法]对52例儿童孟氏骨折的桡骨头脱位行手术治疗,男37例,女15例,年龄3～13岁,平均8.1岁。右33例,左19例;骨折类型(Bado分类):Ⅰ型(伸直)型34例(65.4%),Ⅲ(内收)型18例(34.6%);尺骨骨折部位:尺骨近1/3骨折35例(67.3%),尺骨中1/3部骨折17例(32.7%)。合并桡神经损伤6例。[结果]根据Mackay疗效评定标准。随访时间8个月～8年,平均27个月。52例全部为优。[结论]桡骨头的手术复位是一种简单、有效和安全的方法,能有效避免桡骨头的再脱位并提高儿童孟氏骨折的临床疗效。
[Objective] To explore the pathological relationship between Monteggia radial head and annular ligament by surgery, and to provide evidence for the prevention of radial head dislocation. [Method] 52 cases of Monteggia fracture of the radial head dislocation surgery, 37 males and 15 females, aged 3 to 13 years, mean 8.1 years. (33 cases), right 33 cases and left 19 cases. Fractal types (Bado classification) were 34 cases (65.4%) of type Ⅰ (straightening) and 18 cases (34.6%) of Ⅲ Three fractures were found in 35 cases (67.3%), and 1/3 fractures in the ulna were found in 17 cases (32.7%). Radial nerve injury in 6 cases. [Results] According to Mackay curative effect evaluation standard. Follow-up time of 8 months to 8 years, an average of 27 months. All 52 cases are excellent. [Conclusion] Surgical reduction of the radial head is a simple, effective and safe method, which can effectively prevent radial head dislocation and improve the clinical curative effect of Monteggia fractures in children.