摘要
目的应用并总结Metaizeau法治疗明显移位的小儿桡骨颈骨折的方法,并对其效果进行初步的临床研究。方法2003年5月到2004年8月共收治O’brien分型为Ⅱ、Ⅲ型的儿童桡骨颈骨折患儿7例,男5例,女2例;其中Ⅱ型4例、Ⅲ型3例,平均年龄12岁;平均随访9个月。采用Metaizeau法治疗O’brienⅡ、Ⅲ型骨折。桡骨远端干骺端打入预弯过的克氏针直至桡骨头,将桡骨头复位并固定,术后石膏固定3周,功能锻炼。结果所有患儿骨折均愈合,无畸形,无桡骨头过度生长,无桡骨头骨骺早闭及骨桥形成,无关节周围异位钙化灶,功能活动良好。并发症为局部钢针刺激皮肤引起疼痛,以及暂时性的桡背侧皮肤麻木。另外有2例因骨折III型移位(移位在80°左右),手术中另一枚克氏针先将桡骨头部分复位后再用Metaizeau法进行复位获得成功。结论Metaizeau法治疗儿童桡骨颈骨折是一种微创,疗效良好的手术方法。
Objective To assess the effect of treatment of radial neck fractures in children with Metaizeau's technique.Methods A retrospective study was performed in 7 children (age ranged from 10 to 13 years) with displaced radial neck fractures. All of them were corrected with Metazeau's technique in this institute from 2003 to 2004.Results At the time of follow-up, the range of motion of the injured upper extremities was normal in all cases. There was no deformity, no abnormal calcification around junction, and no growth plate suppression. Some patients experienced somewhat pain which was caused by the pins.Conclusion Metazeau’s technique deserves to be a minimally invasive and simply method for the treatment of the radial neck fractures in children.
出处
《中华小儿外科杂志》
CSCD
北大核心
2005年第7期369-371,共3页
Chinese Journal of Pediatric Surgery
