知识与财富的链接
目的探讨新鲜儿童孟氏骨折不同治疗方法的选择。方法复习1995～2004年治疗的86例新鲜儿童孟氏骨折的临床资料,其中A组28例采用手法复位小夹板或石膏外固定;B组35例尺骨骨折采用开放复位内固定,桡骨头手法复位后肘部用护腕固定;C组23例采用开放复位内固定环状韧带修补术治疗,对三组的肘关节及前臂的功能进行分析,比较三组的疗效。结果随访时间8个月～9年,A组优15例,良8例,可3例,差2例;B组优25例,良8例,可2例,差0例;C组优14例,良6例,可2例,差1例。三组间比较,其差异无统计学意义(P>0．05)。结论对损伤程度不同的孟氏骨折应分别选用合适的治疗方式,其中桡骨头复位后护腕固定并配合尺骨骨折切开复位内固定适用于各种类型的孟氏骨折。
Objective To investigate the different treatment methods for fresh Monteggia fracture in children and their effects. Methods The clinical data of 86 children with fresh Monteggia fracture treated from 1995 to 2004 were reviewed. Twenty- eight children in Group A were fixated by plaster or splint after manual reduction. Thirty- five children in Group B 3 were treated by internal fixation in the fracture of ulna and external fixation by wristlet after manual reduction in the dislocation of head of radius. Twenty-three children in Group C were treated by internal fixation in the fracture of ulna and annular ligament repair. The effect of the three groups was evaluated by observing the function of forearm and elbow. Results All of the children were followed up from 8 months to 9 years, 5 years and 8 months on average. In group A, the excellent result was achieved in 15 children, good in 8, fair in 3 and poor in 2. In group B, the excellent result was achieved in 25 , good in 8, fair in2 and poor in none. In group C, the excellent result was achieved in 14, good in 6, fair in 2 and poor in 1. There were no significant difference in the rate of excellent and good results between three group (P > 0.05). Conclusion The appropriate treatment method is selected for the fresh Monteggia fractures of different extents and types. The method of internal fixation in the fracture of ulna and external fixation by wristlet after manual reduction in the dislocation of head of radius is suitable for all types of fresh Monteggia fractures.