CAJ | 학술논문

目的探讨弹性髓内针单根骨折固定治疗儿童前臂双骨折的临床疗效.方法自2008年1月至2012年12月,回顾性分析24例采用弹性髓内针单根骨折固定治疗儿童前臂双骨折的临床疗效.男15例,女9例;年龄6～13岁,平均9.6岁.对骨折移位较为明显的骨折进行内固定,其中桡骨固定16例,尺骨8例.术后长臂石膏托固定4周.术后通过X线片判断骨折愈合时间,采用Price标准评定前臂功能.结果 21例获得随访,3例失访,随访时间6～14个月,平均8.4个月.末次随访时按Price评分标准评定:优14例,良7例.术后2例出现髓内钉钉尾激惹症状,无伤口感染、血管神经损伤等并发症.结论对部分前臂双骨折的儿童,采用弹性髓内针单根骨折固定是一种微创有效的治疗方法.
목적 탐토탄성수내침단근골절고정치료인동전비쌍골절적림상료효.방법 자2008년1월지2012년12월,회고성분석24례채용탄성수내침단근골절고정치료인동전비쌍골절적림상료효.남15례,녀9례;년령6～13세,평균9.6세.대골절이위교위명현적골절진행내고정,기중뇨골고정16례,척골8례.술후장비석고탁고정4주.술후통과X선편판단골절유합시간,채용Price표준평정전비공능.결과 21례획득수방,3례실방,수방시간6～14개월,평균8.4개월.말차수방시안Price평분표준평정:우14례,량7례.술후2례출현수내정정미격야증상,무상구감염、혈관신경손상등병발증.결론 대부분전비쌍골절적인동,채용탄성수내침단근골절고정시일충미창유효적치료방법.
Objective To evaluate the clinical outcomes of treating pediatric forearm both bone fractures with single bone elastic intramedullary nailing (EIN) fixation.Methods A retrospective analysis was conducted of 24 cases of forearm both bone fractures treated with EIN fixation of single bone from January 2008 to December 2012.There were 15 boys and 9 girls with a median age of 9.6 years (range,6 to 13 years).The bone with more obvious fracture displacement was fixed with the EIN.The radius was fixed in 16 cases while in the other 8 cases the ulna was fixed.All had a course of immobilization with long arm cast for 4 weeks.Fracture healing time was determined by X-rays.Forearm functions were evaluated using Price criteria.Results Twenty-one cases were follow-up for 8.4 months (range,6 to 14 months) postoperatively.Three cases were lost to follow-up.All fractures healed.According to the Price criteria,the results were rated as excellent in 14 cases and good in 7 cases.Skin irritation around the nail was found in 2 patients.There were no infections,nonunions,maltmions,or neurovascular injuries.Conclusion Single-bone intramedullary nailing fixation is a minimally invasive and effective treatment for pediatric forearm both bone fractures.