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目的探讨闭合穿钉或小切口微创应用弹性髓内钉对儿童桡骨颈骨折的治疗效果。方法自2005年11月—2008年6月采用此技术治疗儿童桡骨颈骨折19例。结果 19例患儿均获随访,随访时间6~14个月,两例出现5°~10°的再倾斜,17例保持解剖复位,无切口感染,无肘关节活动受限等并发症。结论弹性髓内钉治疗儿童桡骨颈骨折具有创伤小、固定牢固、不伤骨骺、不损伤髓内血运等优点。
Objective To investigate the therapeutic effect of minimally invasive or minimally invasive elastic nail on children’s radial neck fracture. Methods From November 2005 to June 2008, 19 children with radial neck fractures were treated with this technique. Results All the 19 cases were followed up for 6 to 14 months. Two cases showed re-tilt between 5 ° and 10 °, 17 cases underwent anatomical reduction, no incision infection and no complications of elbow joint activity. Conclusion Flexible intramedullary nails in the treatment of children with radial neck fracture with trauma, fixed firmly, does not hurt the epiphysis, does not damage the intramedullary blood flow and so on.