Ilizarov环形外固定器治疗儿童胫骨远侧干骺端骨折的疗效分析  

Curing metaphyseal fracture of distal tibiaby Ilizarov annular external fixator in children

作　　者：张磊[1] 张其海[1] 赵斌[1] 陈元振[1] 李华忠 李庆芳[1] Zhang Lei;Zhang Qihai;Zhao Bin;Chen Yuanzhen;Li Huazhong;Li Qingfang(Department of Pediatric Orthopedics,Central Municipal Hospital,Tai an 271000,China)

机构地区：[1]山东省泰安市中心医院儿童骨科

出　　处：《临床小儿外科杂志》2019年第2期151-153,158,共4页Journal of Clinical Pediatric Surgery

摘　　要：目的探讨应用Ilizarov环形外固定器治疗儿童胫骨远侧干骺端骨折的临床疗效。方法收集2011年4月至2016年5月由山东省泰安市中心医院收治的15例胫骨远侧干骺端骨折的患儿为研究对象,在X线透视下复位后行Ilizarov环形外固定器固定术。结果15例均获得随访,随访时间为5~10个月,平均7.4个月,环形外固定器固定时间为3~6.2个月,平均4.5个月。根据美国足踝外科协会(American Orthopedic Foot and Ankle Society,AOFAS)评分系统对踝关节功能进行评分,治疗效果:优14例,良1例。结论Ilizarov环形外固定器治疗儿童胫骨远侧干骺端骨折临床疗效满意,尤其适合开放性骨折伴软组织损伤严重的患儿。Objective To evaluate the clinical efficacy of treating pediatric tibial distal metaphyseal fracture by llizarov annular external fixation.Methods From 2011 April to 2016 May,15 children with tibial distal metaphyseal fracture were operated under general anesthesia by llizarov annular external fixation after reduction under radiographic machine.Results The mean follow-up period was 7.4(5~10)months.And the mean fixation period was 4.5(3~6.2)months.As assessed by AOFAS(American Orthopedic Foot and Ankle Society)score system,postoperative functional improvements were excellent(n=14)and fair(n=1).Conclusion Treatment of children s tibial distal metaphyseal fracture by llizarov annular external fixation offers many advantages.And it is both safe and effective,especially for open fracture with severely injured soft tissue.

关 键 词：外固定器 胫骨远端骨折 干骺端 儿童 

分 类 号：R726.8[医药卫生—儿科] R683.42[医药卫生—临床医学]