闭合复位弹性髓内针固定尺骨治疗BadoⅠ型及Ⅱ型儿童新鲜孟氏骨折  

Treatment of fresh Monteggia fractures of Bado typeⅠandⅡin children by closed reduction and ulna intramedullary nail fixation

作　　者：罗冬冬 张树茂 

机构地区：[1]咸阳市中心医院小儿外科,陕西咸阳712000 [2]三原县红原医院骨科,陕西咸阳712000

出　　处：《中国骨伤》2016年第1期64-67,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：探讨闭合复位弹性髓内针固定尺骨治疗BadoⅠ型及Ⅱ型儿童新鲜孟氏骨折的疗效。方法 ：2010年7月至2013年9月就诊的儿童孟氏骨折的患儿23例,其中男18例,女5例;年龄6-13岁,平均9.3岁。BadoⅠ型孟氏骨折15例,Ⅱ型8例。采用闭合复位,弹性髓内针固定尺骨方法治疗。其中9例合并桡神经损伤。观察手术时间,神经恢复情况,骨折愈合情况,肘关节功能。结果：患儿均获得随访,时间6-24个月,平均12个月,骨折均骨性愈合,末次随访Anderson法评价患肢功能,优20例,良2例,可1例。结论：闭合复位弹性髓内针固定尺骨治疗儿童新鲜孟氏骨折操作简单、创伤小、疗效好。Objective：To investigate the effects of closed reduction and ulna intramedullary nail fixation for the treatment of fresh Monteggia fractures of Bado type Ⅰand Ⅱ in children. Methods：Twenty three children patients with Monteggia fracture during July 2010 to September 2013 were treated by closed reduction and ulna intramedullary nail fixaion including 18 boys and 5 girls with an average age of 9.3 years old ranging from 6 to 13 years old. Among them,15 cases were Bado type Ⅰand 8 cases were Bado type Ⅱ. There were 9 cases with radial nerve injury. The operation time,the recovery of nerve injury,the fracture healing and the function of elbow were observed and recorded. Results：All patients were followed up for 6 to 24months（12 months on average）. All patients were obtained bone healing. According to Anderson standard,at the final followup,20 cases got excellent result,2 cases got good result,and one case got fair result. Conclusion：Treatment of the fresh Monteggia fractures in children by closed reduction and ulna intramedullary nail fixation has advantages of simple operation,less trauma and good results.

关 键 词：尺骨骨折 MONTEGGIA骨折 儿童 骨折固定术 髓内 外科手术 

分 类 号：R274.120.5[医药卫生—中医骨伤科学]