儿童桡骨颈骨折的远期观察  

Observation on the Late Results of Fractures of the Neck of Raduis in Children.

作　　者：吴守义[1] 王晓林[1] 刘国华[1] 汪启筹[1] 

机构地区：[1]上海第二医科大学新华医院儿骨科

出　　处：《中华创伤杂志》1986年第1期4-6,共3页Chinese Journal of Trauma

摘　　要：本文报道31例伴严重移位的桡骨头、颈骨折的手术治疗结果,其中优77.77%,良18.52%,效果满意者96.29%。本组桡骨头骨折的发生率,女∶男=1.21∶1,左∶右=1.8∶1,左侧高于右侧是本病的特点;年龄以学龄儿童为主。早期手术治疗,正确复位,嵌顿骨片不作内固定,术后石膏固定是成功的重要因素。文中还讨论了随访中发现的一些并发症的原因。From June 61 tp July 79,31 children with displaced fractures of the meck of raduis were admitted to Shanghai Xinhua Hospital and operated upon. Iacision was posterior-lateral and the fragments were replaced and impacted without internal fixation. The elbow was immobilized for 4 to 6 weeks in 90° flexion. Twenty-seven cases were followed up for an average of 6 years and g months. The authors examined flexion, extension, rotation,valgus and varus of the elbow joints. There were 21 cases normal, 5 cases with mild valgus, varus or SOreness and 1 case of failure due to athetoid cerebral palsy. Examination also revealed weakness of muscle power,soreness, cubitus valgus or limited supination in some cases without much impairment of function. The authors felt that the operations yielded satisfactory results.

关 键 词：儿童 挠骨颈骨折 手术治疗 肘关节脱位 石膏固定 

分 类 号：R726.834.1[医药卫生—儿科]