桡骨短缩截骨及韧带重建治疗儿童陈旧性孟氏骨折  

Radius shortening osteotomy and triceps brachii muscle aponeurosis reconstruction of annular ligament for chronic Monteggia fracture in children

作　　者：何明长[1] 郭林新[1] 许洋[1] 郭志民[1] 林斌[1] 

机构地区：[1]解放军第175医院骨科,全军骨科中心,福建省漳州市363000

出　　处：《中国骨与关节损伤杂志》2013年第7期632-634,共3页Chinese Journal of Bone and Joint Injury

基　　金：2011年漳州市科技计划项目(Z2011065)

摘　　要：目的探讨桡骨短缩截骨及肱三头肌腱膜重建环状韧带治疗儿童陈旧性孟氏骨折的手术方法及临床疗效。方法自2006年7月～2012年5月对12例儿童陈旧性孟氏骨折,均行桡骨短缩截骨并一期行桡骨小头复位、肱三头肌腱膜重建环状韧带,术后所有患儿均得到随访。结果术后平均随访时间18个月(6个月～3年),所有桡骨小头均维持良好复位,10例术后肘关节活动与术前一致,1例术后肘关节屈曲功能较术前减少10°,1例前臂旋后功能减少5°,1例术后浅表钉眼感染。结论采用桡骨短缩截骨及肱三头肌腱膜重建环状韧带治疗儿童陈旧性孟氏骨折的方法具有手术简单、并发症少、术后关节功能恢复快等优点,是一种可选择的方法。Objective To evaluate the surgical method and clinical curative effect of radius shortening osteotomy and triceps brachii muscle aponeurosis reconstructs annular ligament for chronic Monteggia fracture in children. Methods The clinical and radiographic outcomes for twelve children with a chronic Monteggia fracture from July 2006 to May 2012, undergoing open reduction of the radial head combined with radius shortening osteotomy and anular ligament reconstruction were investigated. Results Average followed up time was 18 months from 6 months to 3 years after operation in total 12 cases. The radial head remained in a completely reduced position in all patients. The postoperative movement of elbow joints was consistent with preoperative movement in 10 podiatric patients. One had a loss of forearm supination of 5 degrees. One had a loss of elbow flexion function of 10 degrees. One superficial nail hole was infected. Conclusion Radius shortening osteotomy and triceps brachii muscle aponeurosis reconstruction of annular ligament are effective in the treatment of chronic Monteggia fracture in children with the advantages including simple operative procedures, less complications, fast recovery of joint function.

关 键 词：儿童 陈旧性孟氏骨折 桡骨截骨 

分 类 号：R683.41[医药卫生—骨科学]