钢板内固定与外架固定治疗儿童BadoⅠ型陈旧性孟氏骨折疗效对比  

Efficacy of steel plate internal fixation and external frame fixation in the treatment of children BadoⅠneglected Monteggia fracture

作　　者：段海涛 刘秋亮[1] 史龙彦 宋东建[1] 张辉[1] 汪奇[1] 金亚丽[1] 赵昀政 尹梦雯 李潮 DUAN Haitao;LIU Qiuliang;SHI Longyan;SONG Dongjian;ZHANG Hui;WANG Qi;JIN Yali;ZHAO Yunzheng;YIN Mengwen;LI Chao(Department of Pediatric Orthopaedics,the First Affliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院小儿骨科,郑州450052

出　　处：《郑州大学学报（医学版）》2024年第4期526-531,共6页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省高端外国专家项目(HNGD2021032)。

摘　　要：目的:比较儿童BadoⅠ型陈旧性孟氏骨折尺骨截骨后钢板内固定和外架固定的疗效。方法:收集2015年6月至2022年12月郑州大学第一附属医院收治的儿童BadoⅠ型陈旧性孟氏骨折患儿的资料,患儿均行环状韧带探查联合尺骨截骨术,其中24例尺骨截骨后采用钢板内固定,14例采用外架固定。术前及术后12个月,测量肘关节和前臂活动度,行肘关节Mayo功能评分,记录术后并发症发生情况。结果:两组患儿术后肘关节屈伸、前臂旋转活动度和肘关节Mayo功能评分均高于术前(P<0.05),但是术前术后差值两组比较差异无统计学意义(P>0.05)。钢板内固定组手术时间及出血量均大于外架固定组(P<0.05)。两组患儿肱桡关节再脱位、切口感染和尺骨愈合不良发生率差异无统计学意义(P>0.05)。结论:对于儿童BadoⅠ型陈旧性孟氏骨折,尺骨截骨后钢板内固定和外架固定均有效。Aim:To compare the efficacy of steel plate internal fixation and external frame fixation after ulnar osteotomy for children with BadoⅠneglected Monteggia fracture.Methods:Data of the children with BadoⅠneglected Monteggia fracture treated at the First Affiliated Hospital of Zhengzhou University from June 2015 to December 2022 were analyzed.All children underwent annular ligament exploration combined with ulnar osteotomy,24 cases received steel plate internal fixation,and 14 cases received external frame fixation.Elbow and forearm motion,and elbow joint Mayo function score were detected before and 12 months after operation,and postoperative complications were recorded.Results:The motion of elbow and forearm,and elbow joint Mayo function score after operation in both groups were higher than before operation(P<0.05).However,the differences of them between preoperation and postoperation between the 2 groups had no significant differences(P>0.05).The operation time and blood loss of the internal fixation group were higher than those of the external fixation group(P<0.05).There were no significant differences in the rate of redislocation of humeral-radial joint,incision infection rate,or poor healing rate of ulna between the 2 groups(P>0.05).Conclusion:Both steel plate internal fixation and external fixation after ulna osteotomy are effective for children BadoⅠneglected Monteggia fracture.

关 键 词：BadoⅠ型陈旧性孟氏骨折 桡骨头脱位 尺骨截骨术 环状韧带 儿童 

分 类 号：R726.8[医药卫生—儿科]