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多发性前臂骨干骨折:生长末期的复位及石膏固定控制

Multiple forearm diaphyseal fracture: reduction and plaster cast control at the end of growth.

作者信息

Boero Silvio, Michelis Maria Beatrice, Calevo Maria Grazia, Stella Marco

机构信息

2nd Department of Orthopedic Surgery, Giannina Gaslini Research Institute, Largo Gaslini 5, Genoa, 16147, Italy,

出版信息

Int Orthop. 2007 Dec;31(6):807-10. doi: 10.1007/s00264-006-0255-z. Epub 2006 Nov 16.

Abstract

The authors followed up 20 patients with multiple diaphyseal fractures of the radius and ulna who were treated nonoperatively and who healed with axial deviation >5 degrees in at least one plane 20.4+/-6.7 years after radiographic evidence of fracture union. Mean age at follow-up was 28.6+/-6.4 years. Radiographs were measured soon after reduction, at 10 days from reduction, at the end of treatment, and at follow-up (17/20). Both elbow and forearm range of motion (ROM) were compared with those of the contralateral side. At follow-up, ROM was normal and radiographs showed angular deviations <5 degrees .

摘要

作者对20例桡骨和尺骨多段骨干骨折患者进行了随访,这些患者接受了非手术治疗,在骨折影像学愈合证据出现后20.4±6.7年,至少在一个平面上出现了>5度的轴向偏差并愈合。随访时的平均年龄为28.6±6.4岁。复位后不久、复位后10天、治疗结束时以及随访时(20例中的17例)均进行了X线片测量。将患侧肘关节和前臂的活动范围(ROM)与对侧进行了比较。随访时,ROM正常,X线片显示角度偏差<5度。

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