儿童孟氏骨折手术治疗分析

发布时间：2018-08-17 13:46

【摘要】：目的探讨儿童孟氏骨折的手术治疗方法及临床疗效。方法对我院2003年3月至2011年3月20例儿童孟氏骨折病例进行随访分析,手法复位失败的新鲜儿童孟氏骨折采用尺骨复位内固定环状韧带修补术治疗。陈旧性儿童孟氏骨折患者,采用尺骨截骨内固定,尺骨切开复位环状韧带重建术治疗。术后定期复查X线片,观察骨折愈合情况,并检查前臂功能恢复情况。采用Mackay临床功能评定表评估前臂功能恢复情况。结果术后18例获得随访,失访2例,随访病例所有骨折均愈合。按Mackay评分：优：8例,良：9例,差：1例;优良率达94%。结论新鲜且手法复位失败的儿童孟氏骨折骨折,尽早复位尺骨并固定,修复环状韧带。陈旧性儿童孟氏骨折,则采用尺骨截骨矫形固定,环状韧带重建的方法复位固定桡骨小头,以便使肘关节活动获得良好的功能恢复。
[Abstract]:Objective to investigate the surgical treatment and clinical effect of children with Monteggia fracture. Methods from March 2003 to March 2011, 20 cases of Mencius fracture in children were followed up and analyzed. The fresh children who had failed manual reduction were treated with repair of annular ligament with ulnar reduction and internal fixation. Old children with Monteggia fracture were treated with ulnar osteotomy and annular ligament reconstruction. X-ray examination was performed regularly after operation to observe fracture healing and to check the recovery of forearm function. The recovery of forearm function was evaluated by Mackay clinical function evaluation table. Results 18 cases were followed up, 2 cases were lost, all fractures healed. According to Mackay score, 8 cases were excellent, 9 cases were good, 1 case was poor, and the excellent and good rate was 94%. Conclusion in children with fresh and failed manipulative reduction, the ulnar bone should be reduced and fixed as soon as possible to repair the annular ligament. The old Monteggia fracture in children was fixed by ulnar osteotomy and annular ligament reconstruction in order to restore the function of elbow joint.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R726.8

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