中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2011年
9期
682-685
,共4页
唐伟%慕明章%谭江威%王清防%廖光军%张同庆
唐偉%慕明章%譚江威%王清防%廖光軍%張同慶
당위%모명장%담강위%왕청방%료광군%장동경
肘关节%Monteggia骨折%脱位
肘關節%Monteggia骨摺%脫位
주관절%Monteggia골절%탈위
Elbow joint%Monteggia fracture%Dislocation
目的 探讨关节囊松解被卡环状韧带下移治疗儿童陈旧性孟氏骨折的方法及疗效。方法 2008年3月至2010年2月，采取关节囊松解被卡环状韧带下移桡骨头复位加尺骨延长成角截骨钢板内固定方法治疗Ⅰ、Ⅲ型儿童陈旧性孟氏骨折11例，男8例，女3例；年龄3～7岁7例，年龄8～11岁4例。病程2～3个月4例，4～6个月4例，7～12个月1例，13～30个月2例。结果 术后随访6个月至2年（平均9个月），随访6～12个月7例，13～24个月4例。按照Mackay[1]功能评定标准进行疗效评价，结果全部为优。X线表现无半脱位或脱位。结论 利用关节囊松解被卡环状韧带下移方法治疗儿童陈旧性孟氏骨折具有：疗效可靠，方法简单，创伤小，重建环状韧带实为环状韧带的再复位，其生物学特性完全符合伤前环状韧带。该方法值得临床医生探讨和推广。
目的 探討關節囊鬆解被卡環狀韌帶下移治療兒童陳舊性孟氏骨摺的方法及療效。方法 2008年3月至2010年2月，採取關節囊鬆解被卡環狀韌帶下移橈骨頭複位加呎骨延長成角截骨鋼闆內固定方法治療Ⅰ、Ⅲ型兒童陳舊性孟氏骨摺11例，男8例，女3例；年齡3～7歲7例，年齡8～11歲4例。病程2～3箇月4例，4～6箇月4例，7～12箇月1例，13～30箇月2例。結果 術後隨訪6箇月至2年（平均9箇月），隨訪6～12箇月7例，13～24箇月4例。按照Mackay[1]功能評定標準進行療效評價，結果全部為優。X線錶現無半脫位或脫位。結論 利用關節囊鬆解被卡環狀韌帶下移方法治療兒童陳舊性孟氏骨摺具有：療效可靠，方法簡單，創傷小，重建環狀韌帶實為環狀韌帶的再複位，其生物學特性完全符閤傷前環狀韌帶。該方法值得臨床醫生探討和推廣。
목적 탐토관절낭송해피잡배상인대하이치료인동진구성맹씨골절적방법급료효。방법 2008년3월지2010년2월，채취관절낭송해피잡배상인대하이뇨골두복위가척골연장성각절골강판내고정방법치료Ⅰ、Ⅲ형인동진구성맹씨골절11례，남8례，녀3례；년령3～7세7례，년령8～11세4례。병정2～3개월4례，4～6개월4례，7～12개월1례，13～30개월2례。결과 술후수방6개월지2년（평균9개월），수방6～12개월7례，13～24개월4례。안조Mackay[1]공능평정표준진행료효평개，결과전부위우。X선표현무반탈위혹탈위。결론 이용관절낭송해피잡배상인대하이방법치료인동진구성맹씨골절구유：료효가고，방법간단，창상소，중건배상인대실위배상인대적재복위，기생물학특성완전부합상전배상인대。해방법치득림상의생탐토화추엄。
Objective To introduce a novel method for the treatment of pediatric old Monteggia fracture by shifting the interposed annular ligament. Methods Eleven pediatric patients with Type I and Type Ⅲ old Monteggia fractures from March 2008 to February 2010 were included in this study.All the fractures were treated by shifting the interposed annular ligament after capsular release in conjunction with ulnar fixation after osteotomy lengthening and radial head reduction. There were 8 boys and 3 girls in this series. Seven cases aged in the range of 3 to 8 years old,while 4 cases in the range of 8 to 11 years old. The time from injury to operation was 2 months to 3 months in four children,3 to 6 months in 1 child, 12 months to 30 months in 3 children. Results All the operations were performed successfully and the children were followed up for 9 months (from 6 months to 24 months). Seven cases were followed up less than one year, and 4 cases more than one year. The clinical results were all graded as excellent according to Mackay's criteria. No redislocation and subluxation appeared during followup period. Conclusions Downward shifting of the interposed annular ligament is an effective and reliable method for the treatment of pediatric old Monteggia fracture, because the reduction of the annular ligament restores the mechanical and anatomical nature of the radiohumeral joint.
