桡骨短缩术治疗合并桡骨过度生长的儿童陈旧性孟氏骨折的临床观察  

Clinical Observation of Radial Shortening Osteotomy for the Treatment of Old Monteggia Fractures Complicated with Radial Overgrowth in Children

作　　者：王志远[1] 郭跃明[1] 

机构地区：[1]广东省佛山市中医院骨科,广东佛山528000

出　　处：《临床医学工程》2011年第10期1529-1531,共3页Clinical Medicine & Engineering

基　　金：佛山市卫生局课题(编号:2009098)

摘　　要：目的探讨桡骨短缩术在合并桡骨过度生长的儿童陈旧性孟氏骨折中的应用及临床疗效。方法将60例合并有桡骨过度生长的陈旧性孟氏骨折病例随机分为桡骨短缩组(A组)和尺骨延长组(B组),观察其术后的临床疗效和并发症的发生情况。结果 60例均获随访,随访时间6个月。未发生骨不连、异位骨化、尺桡骨骨性连接等并发症。A组优良率为86.7%,桡头再脱位2例;B组优良率63.3%,桡头再脱位有8例,两者有显著的统计学差异(P<0.05)。术后神经损伤,A组5例,B组3例,两者间无明显差异(P>0.05),且术后三个月均可自行恢复。结论桡骨短缩术治疗合并桡骨过度生长的陈旧性孟氏骨折较行尺骨延长术的疗效为佳,具有一定的临床应用价值。Objective To study the application and clinical effects of radial shortening osteotomy for the treatment of old Monteggia fractures complicated with radial overgrowth in children. Methods 60 patients with old Monteggia fractures complicated with radial overgrowth were divided into two groups by randomization. The cases in group A were treated with radial shortening osteotomy, and the cases in group B were treated with ulna extended osteotomy. The clinical effects and complications were observed. Results All of 60 cases were followed up for 6 months. Complications such as non-union of bone, ectopic ossification, bone connected with radious and ulna, did not occurr. In group A, the excellent and good rate was 86.7%, 2 cases had recurrent dislocation of radial head. And in group B, it was 63.3% and 8 cases. there was statistically significant difference （P 0.05）. 5 cases and 3 cases had postoperative neurological damage in the two groups, respectively, there was no significant difference （P 0.05）, and it could be self-restored after three months. Conclusion Radial shortening osteotomy is better than ulna extended osteotomy in treating old Monteggia fractures complicated with radius overgrowth in children. It has the certain value in clinical application.

关 键 词：儿童 陈旧性孟氏骨折 截骨术 

分 类 号：R726.8[医药卫生—儿科]