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儿童陈旧性孟氏骨折 15例 ,使用前臂筋膜重建环状韧带加钢丝环套、尺骨给予钢板固定 ,术后 2 4～ 48h开始肘关节屈伸及前臂旋转锻炼。15例患儿术后随访 1～ 6年 ,肘关节屈伸活动 12例正常 ,2例受限 2 0度 ,1例受限 40度 ,前臂旋转 14例正常 ,1例受限 2 0度。该方法简单可靠 ,符合正常环状韧带生物力学特点 ,能早期行肘关节屈伸及前臂旋转锻炼 ,达到修复固定的目的。
Children with old Monteggia fracture in 15 cases, the use of forearm fascia reconstruction ring ligament plus steel ring sets, the ulna was given plate fixation, 24 ~ 48h after the start of elbow flexion and forearm rotation exercise. Fifteen patients were followed up for 1 to 6 years. Elbow flexion and extension activities were normal in 12 cases, 2 cases were limited to 20 degrees, 1 case was limited to 40 degrees, forearm rotation was normal in 14 cases and 1 case was limited to 20 degrees. The method is simple and reliable, accords with the biomechanical characteristics of normal annular ligaments, and can perform elbow flexion and forearm rotation exercises early to achieve the purpose of restoration and fixation.