同种异体筋膜重建环状韧带治疗儿童陈旧性孟氏骨折效果观察  

Effect Observation of Allogenic Fascia Reconstruction of Annular Ligament in the Treatment of Old Monteggia Fracture in Children

作　　者：王东飚[1] 王东霞[1] 翟君[1] 盖建林 田笠 李娟[1] 

机构地区：[1]行唐县人民医院骨外科,河北行唐050600 [2]石家庄人民医学高等专科学校,石家庄050091

出　　处：《临床误诊误治》2015年第2期86-88,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的评价同种异体筋膜重建环状韧带治疗儿童陈旧性孟氏骨折的临床效果。方法对我院收治的11例儿童陈旧性孟氏骨折采用同种异体筋膜重建环状韧带,术后钢针固定肱桡关节及尺桡骨近端,观察治疗结果。结果本组手术时年龄6-13岁,受伤至接受治疗时间1-3年,手术时间平均70 min,术中出血量平均150 ml。11例全部得到了随访,随访时间1.0-3.5年,平均2.58年。7例肘关节功能恢复正常;2例有不同程度旋转功能受限,平均旋转功能受限35°,旋前功能平均受限15°,旋后功能平均受限20°;1例屈伸功能受限,其中伸直功能受限10°,屈曲功能无明显受限;1例桡骨颈变细。结论同种异体筋膜重建环状韧带治疗儿童陈旧性孟氏骨折较应用自体筋膜效果理想,并可减少患者的创伤。Objective To evaluate the clinical effect of allogenic fascia reconstruction of annular ligament in the treatment of old Monteggia fracture in children. Methods A total of 11 children with old Monteggia fractures in our hospital were treated with allogenic fascia reconstruction of annular ligament and kirschner wire fixation of humeroradial joint and proximal ulna and radial after surgery. The treatment results were observed. Results The age of the patients ranged from 6 years to 13 years old during the operations. The duration between injury and treatment ranged 1-3 years. The average operation time was 70 min and the average amount of bleeding in operation was 150 ml. All the 11 cases were followed up for 1. 0-3. 5 years,and the average follow-up period was 2. 58 years. Elbow joint function returning to normal in 7 cases; different degrees of rotation function limitation in 2 cases,average rotation limitation was 35°,average limited pronation and supination were 15° and20° flexion and extension was limited in 1 case,straight limitation was 10°,with no obvious constrained buckling; Radial neck thinning in 1 case. Conclusion Allogenic fascia reconstruction of annular ligament is less invasive and can achieve a better clinical effect in the treatment of old Monteggia fracture in children than the application of autologous fascia.

关 键 词：尺骨骨折 桡骨 脱位 同种异体筋膜 环状韧带重建 

分 类 号：R726.8[医药卫生—儿科]