Wen Yuwei,Wang Qiang,Song Baojian,et al.Application of unilateral multifunctional external fixator for treatment of pathological fracture in children.[J].Journal of Clinical Pediatric Surgery,2018,17(02):117-121.
应用单臂多功能外固定器治疗儿童病理性骨折
- Title:
- Application of unilateral multifunctional external fixator for treatment of pathological fracture in children.
- Keywords:
- Fractures; Spontaneous; External Fixators; Therapy; Child
- 文献标志码:
- A
- 摘要:
-
目的 探讨单臂多功能外固定器治疗儿童病理性骨折的特点及疗效。 方法 回顾性
分析２０１２年１月至２０１５年１２月本院收治的１８例病理性骨折患儿的临床资料。对于继发于肿瘤性及
瘤样病变的病理性骨折采用单臂外固定器合并病灶刮除植骨治疗，其他病理性骨折患儿仅采用单臂外
固定器治疗。通过Ｘ线片评估骨折复位有无丢失及病灶愈合情况；采用肩、肘、髋、膝、踝等关节功能综
合评价标准及随访患儿家长的满意度进行临床评估。 结果 １８例患儿平均随访时间２１．９个月，１８
例（包括术中医源性骨折１例）Ｘ线片均提示病理性骨折愈合，愈合时间４～７个月，平均４．５个月。针
道感染１例，无骨不连、畸形愈合等并发症。根据肩、肘、髋、膝、踝等关节功能综合评价，疗效均为优秀，
患儿家长满意度１００％。 结论 单臂多功能外固定器结合或者不结合病灶刮除植骨术可作为治疗儿
童病理性骨折的有效方法。
- Abstract:
- ObjectiveExplore the effectiveness and advantages of unilateral multifunctional external fixator for treatment of pathological fracture in children. MethodsA retrospective review was conducted for 18 children with pathological fracture between January 2012 and December 2015 at our hospital. Unilateral external fixators combined with excochleation were used to treat tumorinduced pathological fractures and tumor like lesions,the others was treated with unilateral external fixator alone. Radiographic assessment was performed on the scheduled followup to examine bone fracture reduction and lesion healing. The clinical outcomes were evaluated using the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,ankle,etc. and patients satisfaction report at the final followup.ResultsAll patients had a mean followup period of 21.9 months after surgery. All patients (Including one cases of iatrogenic fracture during the operation) healed completely at 4 to 7 months after operation (mean,4.5 months). Pinrelated infection occurred in one case,no nonunion and malunion were reported. According to the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,ankle,etc.curative effects are all excellent.Patients satisfactions degree are one hundred percent.ConclusionUnilateral multifunctional external fixator combined with excochleation or not combined with excochleation can be as an effective method to treat pathological fracture in children.
相似文献/References:
[1]王琪.儿童髂前上棘骨折27例疗效分析[J].临床小儿外科杂志,2010,9(03):0.
[2]蒋欣 陈小亮 王道喜 唐学阳 刘利君. 儿童四肢长骨病理性骨折手术治疗60例[J].临床小儿外科杂志,2011,10(05):337.
[J].Journal of Clinical Pediatric Surgery,2011,10(02):337.
[3]邱继明,陈春华.弹性髓内针治疗儿童四肢长骨骨折33例[J].临床小儿外科杂志,2013,12(03):248.[doi:10.3969/j.issn.1671—6353.2013.03.028]
[4]赵艳君 陈海燕 陈纯. 应用SCL-90量表评估骨折患儿父母心理状况的调查研究[J].临床小儿外科杂志,2014,13(06):510.
[5]赵艳君,陈海燕,俞群,等. 以家庭为中心的整体干预模式对骨折患儿父母心理的影响[J].临床小儿外科杂志,2016,15(06):602.
[6]鲁明,杨征,尤海峰,等.超关节外固定架结合有限内固定手术治疗儿童型Pilon骨折的中期随访结局分析[J].临床小儿外科杂志,2019,18(07):594.[doi:10.3969/j.issn.1671-6353.2019.07.015]
Lu Ming,Yang Zheng,You Haifeng,et al.Midterm follow-up surgical outcomes of pediatric Pilon fracture[J].Journal of Clinical Pediatric Surgery,2019,18(02):594.[doi:10.3969/j.issn.1671-6353.2019.07.015]
[7]赵国强,赵旭飞,冯婷婷.肱骨远端截骨Ilizarov矫形与单纯楔形截骨克氏针固定矫治术治疗儿童肘内翻的对比研究[J].临床小儿外科杂志,2019,18(08):675.[doi:10.3969/j.issn.1671-6353.2019.08.012]
Zhao Guoqiang,Zhao Xufei,Feng Tingting.Efficacy analysis of treating pediatric cubitus varus with osteotomy by Ilizarov versus simple Kirschner wire fixation[J].Journal of Clinical Pediatric Surgery,2019,18(02):675.[doi:10.3969/j.issn.1671-6353.2019.08.012]
[8]卢育南,林然,潘源城,等.闭合复位克氏针空心钉内固定治疗青少年肱骨髁间T型骨折的疗效分析[J].临床小儿外科杂志,2020,19(06):508.[doi:10.3969/j.issn.1671-6353.2020.06.009]
Lu Yunan,Lin Ran,Pan Yuancheng,et al.Treatment of T-type intercondylar humeral fractures with closed reduction K-wire and cannulated screw internal fixation[J].Journal of Clinical Pediatric Surgery,2020,19(02):508.[doi:10.3969/j.issn.1671-6353.2020.06.009]
[9]莫越强,宋君,王达辉.儿童股骨近端良性骨病变伴病理性骨折的治疗及预后分析[J].临床小儿外科杂志,2020,19(07):586.[doi:10.3969/j.issn.1671-6353.2020.07.005]
Mo Yueqiang,Song Jun,Wang Dahui.Treatments and outcomes of benign proximal femoral bone lesion with pathologic fracture in children[J].Journal of Clinical Pediatric Surgery,2020,19(02):586.[doi:10.3969/j.issn.1671-6353.2020.07.005]
[10]王广,林涨源,卢邦宝,等.儿童成骨不全症1例报告及文献综述[J].临床小儿外科杂志,2023,22(01):84.[doi:10.3760/cma.j.cn101785-202209010-016]
Wang Guang,Lin Zhangyuan,Lu Bangbao,et al.Osteogenesis imperfect: one case report with a literature review[J].Journal of Clinical Pediatric Surgery,2023,22(02):84.[doi:10.3760/cma.j.cn101785-202209010-016]
[11]李海冰,叶文松,徐璐杰,等.儿童股骨近端良性骨肿瘤的手术治疗策略探讨[J].临床小儿外科杂志,2020,19(03):241.[doi:10.3969/j.issn.1671-6353.2020.03.010]
Li Haibing,Ye Wensong,Xu Lujie,et al.Treatment strategies for proximal femoral benign bone lesions in children[J].Journal of Clinical Pediatric Surgery,2020,19(02):241.[doi:10.3969/j.issn.1671-6353.2020.03.010]