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目的:探讨陈旧性孟氏骨折漏诊的原因及相应治疗分析。方法:回顾性分析2005年1月-2011年6月,6例Ba-do I型陈旧性孟氏骨折,术前均为漏诊,给予切开复位肘关节重建术,术后对肘关节功能进行随访评估,并进行漏诊原因及手术治疗的探讨。结果:术后随访4～72个月,根据Mackay疗效评定标准:优4例,良2例,优良率100%。结论:详细的询问病史及认真体检,正确X线片的拍摄及阅片,必要时摄健侧对照片,可预防儿童孟氏骨折的漏诊;术中尺骨截骨,纠正尺骨畸形、桡骨头正确复位、适当固定、术后适宜康复训练可获得良好的疗效。
Objective: To investigate the causes of missed diagnosis of old Monteggia fractures and the corresponding treatment analysis. Methods: A retrospective analysis of January 2005-June 2011, 6 cases of Ba-do type I old Monteggia fracture, were missed before surgery, to give open reduction and reconstruction of the elbow, elbow function after surgery Follow-up assessment, and missed diagnosis and surgical treatment of the discussion. Results: The patients were followed up for 4 to 72 months. According to Mackay criteria, 4 were excellent, 2 were good, and the excellent and good rate was 100%. CONCLUSION: Detailed medical history and careful physical examinations, correct radiographs and radiographs, if necessary, photographs of the healthy side can prevent the missed diagnosis of children’s Monteggia fractures; intraoperative osteotomy, correction of ulnar deformities and correct radial head Reset, appropriate fixation, postoperative appropriate rehabilitation training can be a good effect.