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经皮撬拨复位及外固定架固定治疗儿童尺桡骨远端完全骨折

《创伤外科杂志》[ISSN:/CN:]

期数:
2020年01期
页码:
49-51
栏目:
短篇论著
出版日期:
2020-01-22

文章信息/Info

Title:
Treatment of the complete fractures of distal ulnar and radius in children by percutaneous prying reduction and fixation of external fixator
文章编号:
1009-4237(2020)01-0049-04
作者:
张 军李浩宇侯文博张科学
467000 河南 平顶山,平顶山市平煤神马医疗集团总医院创伤骨科一区(张军); 100853 北京,中国人民解放军总医院第一医学中心小儿外科(李浩宇,张科学); 274000 山东 荷泽,菏泽开发区中心医院骨外科(侯文博)
Author(s):
ZHANG Jun1LI Hao-yu2HOU Wen-bo3ZHANG Ke-xue2
1.Department of Orthopedic Trauma,General Hospital of Pingmei Shenma Medical Group,Pingdingshan,Henan 467000,China; 2.Department of Pediatric Surgey,the First Medical Center of PLA General Hospital,Beijing 100853,China; 3.Bone Surgery of Central Hospital of Heze Development Zone,Heze,Shandong 274000,China
关键词:
尺桡骨骨折 外固定器 撬拨复位 儿童
分类号:
R 726.8
DOI:
10.3969j.issn.1009-4237.2020.01.012
文献标识码:
A
摘要:
目的 分析经皮撬拨复位外固定支架治疗儿童尺桡骨远端完全骨折的效果。方法 回顾性分析2017年7月—2018年8月中国人民解放军总医院第一医学中心小儿外科运用经皮撬拨复位外固定支架治疗小儿尺桡骨远端完全骨折共17例。其中男性15例,女性2例; 年龄4~12岁,平均8.8岁; 致伤原因:摔伤13例,道路交通伤2例,高处坠落伤2例。观察患儿愈合情况、并发症情况,采用Gartland-Werley腕关节功能评分进行疗效评估。结果 17例尺桡远端骨折均愈合,随访4.0~15.0个月,平均10.68个月。术后复查无骨折断端移位、骨折畸形愈合、骨折不愈合相关并发症。Gartland-Werley腕关节功能评分显示优15例,良2例,优良率100%。结论 经皮撬拨复位外固定支架治疗儿童尺桡骨远端完全骨折,手术时间短、创伤小、固定牢固可靠、并发症少、腕关节功能恢复好、避免二次手术等,是临床治疗此类骨折的有效方法之一。

参考文献/References

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(收稿日期: 2019-02-13; 修回日期: 2019-05-26)

备注/Memo

备注/Memo:
通信作者: 张科学,E-mail:zkx301@163.com
更新日期/Last Update: 2020-01-21