摘要
目的 分析弹性髓内钉内固定治疗儿童肱骨骨折的临床疗效.方法 2005年3月至2009年2月作者采用钛制弹性髓内钉内固定治疗儿童肱骨骨折26例.结果 患儿均获随访,随访时间为12～32个月,平均20.4个月.均骨折愈合,骨痂生长良好,邻近关节活动和患肢功能恢复正常,术中1例发生两钉缠绕,术后1例出现感染,1例发生皮肤激惹反应,无骨不连或畸形愈合.结论 弹性髓内钉内固定治疗儿童肱骨骨折,与传统的夹板或石膏固定或切开复位技术相比,具有损伤小,并发症少,骨折愈合快,住院周期短,易拔除,术后瘢痕小等优点.
Objective To study the application of elastic intramedullary nails to treat the pediatric humeral fractures, and assess the curative effect. Methods 26 cases of pediatric humeral fractures had been treated with elastic intramedullary nailing in our hospital from March 2005 to February 2009. Resuits 26cases all have been followed up over 12months to 32 months,the average was 20.4 months. All fractures healed and callus grew well, all had full range of motion in the nearest joint and got excellent results with-out and malunion and bone un-union. During the operation, intertwining two nails was found in l case. After operations, irritated skin and exposed nail was found in 1 case, pin infection was found in 1 case. Conclusions Titanium elastic intramedullary nail fixation of humeral fractures in children is a very effective method. Compared to the orthodox technique as epithesis or gypsum fixation or open reduction, this technique has many fortes, such as small skin wound, tiny tissue damage, fewer complications, fractures recovery fast, short period in hospital, the nails pull out convenience, a small scar after surgery and so on.
出处
《临床小儿外科杂志》
CAS
2011年第1期30-32,共3页
Journal of Clinical Pediatric Surgery
关键词
肱骨骨折
外科手术
微创性
骨折固定术
儿童
Humeral Fractures
Surgical Procedure, Minimally Invasive
Fracture Fixation
Child
