CAJ | 학술논문

目的探讨小儿桡骨远段骨不连并腕部畸形的治疗方法.方法收治小儿桡骨远段骨不连并腕部畸形9例,其中开放性骨折合并感染7例,闭合性骨折2例.全部采用尺骨缩短、桡骨撑开植骨延长手术治疗.结果术后随访6～30个月,平均22个月,骨不连全部愈合.8例取得良好外观和满意功能.术后感染1例,经治疗后愈合.腕部畸形复发1例,经再次行尺骨缩短联合远端骨骺阻滞术后改善.结论治疗成功的关键是保证尺桡骨同步发育、促进骨折愈合和矫正畸形,尺骨缩短、桡骨撑开植骨延长是一种可行的方法.
목적 탐토소인뇨골원단골불련병완부기형적치료방법.방법 수치소인뇨골원단골불련병완부기형9례,기중개방성골절합병감염7례,폐합성골절2례.전부채용척골축단、뇨골탱개식골연장수술치료.결과 술후수방6～30개월,평균22개월,골불련전부유합.8례취득량호외관화만의공능.술후감염1례,경치료후유합.완부기형복발1례,경재차행척골축단연합원단골후조체술후개선.결론 치료성공적관건시보증척뇨골동보발육、촉진골절유합화교정기형,척골축단、뇨골탱개식골연장시일충가행적방법.
Objective To explore the treatment methods of distal radius nonunion combined with wrist deformity in children. Methods Nine cases of distal radius nonunion accompanied with wrist deformity were treated, among which 7 had open fractures and infections while the other 2 were dosed fractures. All eases were surgically treated by ulna shortening and radius lengthening with bone graft. Results Postoperatively the patients were followed up for 6 to 30 months, with an average of 22 months. All the fractures were healed. Eight had good appearance and function. Postoperative infection was seen in one patient that was cured with antibiotics treatment. Recurrence of wrist deformity occurred in one patient, who underwent a second surgery of ulnar shortening and arrest of distal epipbysis. Conclusion Ulna shortening and radius lengthening with hone graft is an effective procedures to treat children with distal radius nonunion and wrist deformity. The key to suecess is to ensure synchronized growth of the ulnar and radius, enhance fracture healing and correct deformity.