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目的探讨儿童陈旧性孟氏骨折的手术治疗经验及临床治疗效果,总结经验,提高诊疗效果。方法选择我院2007年1月到2011年1月行手术治疗的39例小儿陈旧性孟氏骨折患者的临床资料,对其进行回顾性分析。结果 39例患儿均随访,随访时间为4～24个月,平均15个月,39例患儿肘关节屈伸功能正常,部分患儿前臂旋转功能受限,合并桡神经症状者术后4～6月桡神经功能恢复良好,治疗效果优良率为92.3%。结论恢复并维持正确的肱桡关系是治疗小儿陈旧性孟氏骨折的关键,可以取得良好的治疗效果。
Objective To investigate the experience of surgical treatment of old Monteggia fracture in children and its clinical effect, summarize the experience and improve the diagnosis and treatment effect. Methods The clinical data of 39 pediatric patients with old Monteggia fracture who underwent surgery in our hospital from January 2007 to January 2011 were retrospectively analyzed. Results All the 39 cases were followed up for 4-24 months with an average of 15 months. The elbow flexion and extension were normal in 39 cases, and the rotation function of the forearm in some children was limited. In 4 ~ 24 months after operation, Radial nerve function recovered well in June, and the excellent and good treatment rate was 92.3%. Conclusion The key to restore and maintain the right brachial-radial relationship is to treat the old Monteggia fracture in children, which can achieve good therapeutic effect.