儿童陈旧性孟氏折治疗的新方法.pdfVIP

摘 要 儿童陈旧性孟氏骨折治疗的新方法 研究生：韩智君 导师：田禾 副教授 摘 要 目的：探讨一种新的治疗儿童陈旧性孟氏骨折的方法和效果。方法：采用尺骨 斜行截骨、桡骨头切开复位内固定术治疗 2002 年 1 月～2008 年 6 月间我院 25 例儿 童陈旧性孟氏骨折患者。结果：25 例患者术后随访 8～36 个月，根据 Mackay 等的 病情评定标准，随访结果：优：12 例（48% ）；良：11 例（44% ）；差：2 例（8% ）。 术后患者前臂旋转功能改善明显。结论：经多年临床实践及观察，采用尺骨斜行截 骨、桡骨头切开复位内固定术治疗儿童陈旧性孟氏骨折符合生物力学原理，方法简 单，疗效满意，值得推广。 关键词：孟氏骨折；骨折；儿童 —1— 新疆医科大学医学硕士学位论文 New method to cure Old Monteggias Fracture in Children Postgraduate:Han zhijun Supervisor: Associate professor Tian he Abstract Objective: To discuss the method and effect of a new method to cure old Monteggias fracture in children. Methods: From January 2002 to June 2008 our department 25 cases of old Monteggias fracture in children by inclined ulnar osteotomy open reduction of radial head internal fixation. Results: The followed-up periods ranged from 8 to 36 month in 25 patients, based on the function evaluation standard of Macky: revealed excellent results in 12 cases (48%), good in 11 (11%), and poor in 2 (8%) .Postoperative patientss forearm rotation have a significantly improve forearm rotation. Conclusion: After years of clinical practice and observation，using inclined ulnar osteotomy open reduction of radial head internal fixation treated old Monteggias fracture in children is a simple and good method which accord with the biomechanical principle,worth to popularizing. Key words: Monteggias fracture; fracture; children —2— 学位论文独创性说明 本人所呈交的学位论文是在我导师的指导下进行的研究工作及取得的成果。据 我所知，除文中已经注明引用的内容外，本论文不包含其他个人已经发表或撰写过 的研究成果。对本文的研究作出重要贡献的个人和集体，均已在