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目的探讨钛制弹性髓内钉(titanium elastic intrameduary nail,TEIN)在儿童桡骨颈骨折中的临床疗效。方法 2009年1月~2011年6月共收治JudetⅢ型和Ⅳa型的儿童桡骨颈骨折12例,应用TEIN进行复位固定。术后石膏支具固定3周,石膏支具拆除后进行功能锻炼。结果 12例患者骨折均愈合良好,无畸形,在随访期无桡骨头过度生长、桡骨头缺血坏死及桡骨头骨骺早闭。根据Tibone和Stoltz功能评价标准,优10例,良2例。无并发症发生。结论 TEIN在治疗儿童桡骨颈骨折中具有创伤小、操作简便、恢复快、并发症少及美观性强等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of titanium elastic intrameduary nail (TEIN) in children with radial neck fracture. Methods From January 2009 to June 2011, 12 cases of Judet type Ⅲ and Ⅳa children with radial neck fracture were treated and treated with TEIN for reduction and fixation. Postoperative gypsum brace fixed for 3 weeks, gypsum brace removed after functional exercise. Results All the fractures in 12 patients healed well without deformity. During the follow - up period, there was no radial overgrowth, radial head necrosis and radial head epiphysis. According to Tibone and Stoltz functional evaluation criteria, excellent in 10 cases, good in 2 cases. No complications occurred. Conclusion TEIN has the advantages of small trauma, simple operation, quick recovery, less complications and strong aesthetics in the treatment of radial neck fracture in children, which is worthy of clinical application.