摘要
目的探讨弹性髓内针固定治疗儿童前臂骨干骨折的临床疗效。方法选取2011年1月～2014年2月我院骨科收治的前臂骨干骨折患儿80例，按随机排测法分为对照组和观察组，每组40例，对照组采用传统的皮克氏针、钢板和石膏固定，观察组采用弹性髓内针进行固定，将两组术后患者前臂功能恢复情况和并发症进行分析和比较。结果观察组患者术后有1例（2．5％）出现前臂旋后功能受限，其余患儿患肢功能恢复良好，无并发症。对照组患者出现前臂旋后功能受限的有10例（25．0％），出现并发症15例（37．5％）。结论弹性髓内针治疗儿童前臂骨干骨折具有操作简单、风险低、效果明确、创伤小等优势，值得临床推广应用。
Objective To investigate the clinical effect of elastic intramedullary nail fixation for the treatment of diaphyseal forearm fractures in children. Methods A total of 80 cases of children from January 2011 to February 2014 were in diaphyseal forearm fractures treatment in our hospital in department of orthopedics, and were divided into the observation group and the contral group at random, 40 cases in each group. The eontral group treated with the traditional Kirschner wire, steel plate and plaster fixation, while the observation group treated with elastic intramedullary nail for fixation. The forearm function recovery and complications were compared and analyzed between the two groups. Results The observation group＇s patients had postoperative functional limitations, 1 cases of forearm supination, ac- counting for 2.5%, the rest of the children of limb function recovered well, without complication. The compared group＇s patients with forearm supination limited function in 10 cases, accounting for 25.0%, there were 15 eases with complica- tion, accounting for 37.5%. Conclusion Flexible intramedullary nail fixation for the treatment of diaphyseal fractures of the forearm in children has the advantages of simple operation, lower risks, definite effect, smaller trauma and other advantages for treating children diaphyseal forearm intramedullary fracture, is worthy of clinical use.
出处
《中国现代医生》
2014年第16期23-25,共3页
China Modern Doctor
基金
广东省清远市科技局项目(2013B122)
关键词
弹性髓内针固定
儿童
前臂骨干骨折
Flexible intramedullary nail fixation
Children
Diaphyseal fractures of the forearm
