Zhao Zhenqun,Liu Wanlin.Current status of surgical approaches for missed Monteggia fracture in children[J].Journal of Clinical Pediatric Surgery,2019,18(11):906-910.[doi:10.3969/j.issn.1671—6353.2019.11.003]
儿童陈旧性孟氏骨折的手术时机与方案选择
- Title:
- Current status of surgical approaches for missed Monteggia fracture in children
- Keywords:
- Monteggia Fracture; Surgical Procedures; Operative; Therapy; Clinical Protocols; Child
- 分类号:
- R726.8;R683
- 摘要:
- 儿童陈旧性孟氏骨折未经治疗有可能导致远期肘关节疼痛、活动受限、神经麻痹等问题。由于术后可能出现再脱位或半脱位、肘关节旋转受限及截骨端延迟愈合等并发症，因此该病的手术治疗仍充满挑战。关于儿童陈旧性孟氏骨折治疗的文献报道已有很多，但均为小样本回顾性研究，因此不同研究间得到的结论也存在着较大的差异。本文就儿童陈旧性孟氏骨折的手术时机和方案选择进行评述，为临床决策提供参考依据。
- Abstract:
- Without proper treatments,missed Monteggia fracture in children leads to elbow pain,limited movement and nerve paralysis,etc.Its surgical treatments are full of challenges and there may be such complications as redislocation or subluxation,limited rotation of elbow and delayed healing of osteotomy.Many literature reports have discussed the treatments of missed Monteggia fractures in children.However,all of them are small sample retrospective studies and diverse surgical approaches have yielded different postoperative results.This article reviews the timing and selection of surgical approaches for providing clinical guidance for missed Monteggia fractures in children.
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备注/Memo
收稿日期:2019-09-15。
基金项目:2018年卫生健康领域内蒙古自治区应用技术研究与开发资金计划项目（编号：2018146）
通讯作者:刘万林,Email:liuwanlinnmg@sina.com