WANG Wei,CHENG Shaowen,PENG Lei,et al.Application of elastic intramedullary nailing in pediatric humeral fractures.[J].Journal of Clinical Pediatric Surgery,2011,10(01):0.
弹性髓内钉在儿童肱骨骨折中的应用
- Title:
- Application of elastic intramedullary nailing in pediatric humeral fractures.
- 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。
- Abstract:
- Objective To study the application of elastic intramedullary nails to treat the pediatric humeral fractures，and assess the curative effect．Methods26 cases of pediatric humeral fractures had been treated with elastic intramedullary nailing in our hospital from March 2005 to February 2009．Results26cases 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 without and malunion and bone ununion．During the operation，intertwining two nails was found in 1 case． After operations，irritated skin and exposed nail was found in 1 case，pin infection was found in 1 case．ConclusionsTitanium 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．
参考文献/References:
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备注/Memo
作者单位：温州医学院附属第二医院骨科（浙江省温州市，325027），Email: ww-8204@163.com，通讯作者：彭磊，E-mail：xiaobo197518@163.com·