儿童陈旧性孟氏骨折的治疗探讨  

Treatment of old Monteggia fracture in children

作　　者：郭卫春[1] 钟俊[1] 彭昊[1] 温志远[1] 

机构地区：[1]武汉大学人民医院骨科,430060

出　　处：《临床外科杂志》2008年第7期481-482,共2页Journal of Clinical Surgery

摘　　要：目的探讨儿童陈旧性孟氏骨折手术治疗的方法及疗效。方法2000年3月至2005年5月间对15例儿童陈旧性孟氏骨折采用切开复位、尺骨截骨、环状韧带修复或成形术。结果所有病例均获随访10个月至5年,平均24个月,优11例,良3例,差1例,优良率93.3%。尺骨截骨均愈合,无神经损伤。结论对儿童陈旧性孟氏骨折应早期进行手术复位,尽早恢复肘关节及前臂的解剖,以利功能恢复。为减少陈旧性孟氏骨折的发生率,必须强调提高对新鲜孟氏骨折的诊断与治疗水平。Objective To investigate the surgical treatments of old Monteggia fracture in children and the curative effectiveness. Methods Fifteen patients with old Monteggia fracture in children were treated with open reduction,osteotomy of the ulna and restoration or angioplasty of annular ligament. Results All the patients were followed up for 10 months to 5 years （ mean 24 months）. The results of treatment were evaluated as excellent in 11 cases, good in 3 cases and poor in 1 case. The excellent - good rate was 93.3%. Ulna osteotomy healed without nerve injury. Conclusion The early open reduction of old Monteggia fracture in children was suggested, and the elbow and forearm anatomy was restored as early as possible to facilitate functional recovery. As a preventive measure, timely and correct diagnosis and treatment of fresh Monteggia fracture was emphasized.

关 键 词：陈旧性孟氏骨折 环状韧带 手术治疗 

分 类 号：R726.8[医药卫生—儿科]