弹性髓内针固定治疗儿童尺桡骨干骨折  

Elastic intramedullary nailing for treatment of ulnoradial shaft fractures in children

作　　者：张卫华 胡海松 朱伟雄 胡涛 徐玉明 陈飞鹏 ZHANG Wei-hua;HU Hai-song;ZHU Wei-xiong;HU Tao;XU Yu-ming;CHEN Fei-peng(Dept of Hand Surgery,the First People′s Hospital of Yongkang City,Yongkang,Zhejiang 321300,China)

机构地区：[1]永康市第一人民医院手外科,浙江永康321300

出　　处：《临床骨科杂志》2024年第3期379-381,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨弹性髓内针固定治疗儿童尺桡骨干骨折的疗效。方法采用弹性髓内针固定治疗32例儿童尺桡骨干骨折。结果患儿均获得随访,时间4~12个月。13例骨折解剖复位,19例功能复位。切口均愈合良好。骨痂形成时间2~4周。骨折均愈合,时间6~12周。术后无切口感染、骨不连、骨折块移位等并发症发生。2例术后出现桡浅神经损伤症状;3例发生针尾皮肤激惹,其中1例针尾刺穿皮肤。末次随访时,肘关节屈曲135°~145°(138.41°±2.52°),伸直0°~10°(2.35°±0.78°);前臂旋前80°~90°(85.67°±3.52°),旋后80°~90°(84.25°±2.68°)。结论弹性髓内针固定治疗儿童尺桡骨干骨折创伤小,患儿恢复快,临床疗效良好。Objective To investigate the effect of elastic intramedullary nail fixation in the treatment of children with ulnoradial shaft fracture.Methods The 32 children with ulnoradial shaft fractures were treated with elastic intramedullary nail fixation.Results All patients were followed up for 4~12 months.Anatomical reduction was observed in 13 cases and functional reduction were obtained in 19 cases.All incisions healed well.Callus formation time was 2~4 weeks.All fractures healed within 6~12 weeks.There were no postoperative complications such as incision infection,nonunion and fracture fragment displacement.Superficial radial nerve injuries occurred in 2 cases.Skin irritation of nail tail occurred in 3 cases,of which 1 case of nail tail penetrated the skin.At the last follow-up,elbow flexion was 135°~145°(138.41°±2.52°)and extension was 0°~10°(2.35°±0.78°);forearm pronation was 80°~90°(85.67°±3.52°),pronation was 80°~90°(84.25°±2.68°).Conclusions Elastic intramedullary nail fixation in the treatment of children with ulnoradial shaft fracture has the advantages of less trauma,fast recovery and good clinical effect.

关 键 词：尺桡骨干骨折 儿童 髓内固定 

分 类 号：R726.834.1[医药卫生—儿科] R726.873.3[医药卫生—临床医学]