预弯“S”形弹性髓内钉治疗大龄儿童桡骨下段骨折  

Prebending S-shape elastic intramedullary nail in the treatment of distal radius fractures in older children

作　　者：张远鉴 尹同珍[2] 计忠宇[2] 王意菊 ZHANG Yuan-jian;YIN Tong-zhen;JI Zhong-yu;WANG Yi-ju(Dept of Bone and Soft Tissue Tumors,Cangzhou Integrated Traditional Chinese and Western Medicine Hospital of Hebei Province,Cangzhou,Hebei 061013,China)

机构地区：[1]河北省沧州中西医结合医院骨与软组织肿瘤科,河北沧州061013 [2]河北省沧州中西医结合医院小儿骨科,河北沧州061013 [3]沧州市中心医院骨科,河北沧州061017

出　　处：《临床骨科杂志》2023年第2期218-221,共4页Journal of Clinical Orthopaedics

摘　　要：目的 探讨预弯“S”形弹性髓内钉治疗大龄儿童桡骨下段骨折的疗效。方法 采用预弯“S”形弹性髓内钉治疗36例大龄儿童桡骨下段骨折。记录骨折愈合情况及并发症发生情况,按照Grace-Eversmann前臂功能评价标准评价疗效。结果 患儿均获得随访,时间9~12个月。骨折均愈合,时间2~3个月。均未出现感染及骨折不愈合、延迟愈合、畸形愈合等并发症。末次随访按照Grace-Eversmann前臂功能评价标准评价疗效,36例均为优。结论 采用预弯“S”形弹性髓内钉治疗大龄儿童桡骨下段骨折,骨折复位及愈合良好,功能恢复良好,疗效确切。Objective To investigate the effect of prebending S-shape elastic intramedullary nail in the treatment of distal radius fractures in the older children.Methods The 36 older children with distal radius fractures were treated with prebending S-shape elastic intramedullary nail.The fracture healing and complications were recorded,and the efficacy was evaluated according to Grace-Eversmann forearm function evaluation criteria.Results All patients were followed up for 9~12 months.All fractures healed within 2~3 months.No infection,nonunion,delayed union,malunion and other complications occurred.At the last follow-up,the curative effect was assessed with Grace-Eversmann forearm function evaluation standard,36 cases were excellent.Conclusions The treatment of distal radius fractures in older children with prebending S-shape elastic intramedullary nail has good fracture reduction and healing,good functional recovery and definite effect.

关 键 词：桡骨下段骨折 弹性髓内钉 儿童 

分 类 号：R683.42[医药卫生—骨科学] R687.33[医药卫生—外科学]