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目的观察手法复位外固定治疗孟氏骨折并肘关节脱位的疗效。方法儿童新鲜闭合性骨折(3周以内)21例,按Bado分型:型11例,型7例,型3例,采用先整复肘关节的脱位,再行骨折端复位的整复原则进行手法复位外固定。结果经6个月～4年,平均随访18个月,按功能评定:优16例,良5例。结论儿童新鲜闭合性孟氏骨折并肘关节脱位治疗首选手法复位,可获得满意疗效。
Objective To observe the curative effect of manual reduction and external fixation on Monteggia fracture and elbow dislocation. Methods Twenty-one children with fresh closed fractures (less than 3 weeks) were classified according to the Bado classification: type 11, type 7 and type 3, and the dislocation of the elbow was performed first and then the restoration principle of fracture reduction Manual reduction of external fixation. The results of 6 months to 4 years, an average of 18 months follow-up, according to functional assessment: excellent in 16 cases, good in 5 cases. Conclusion Children with fresh closed Monteggia fracture and elbow dislocation treatment of the preferred method of reduction can be obtained satisfactory results.