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弹性稳定髓内钉治疗不稳定前臂骨折后尺骨不愈合:病例系列

Nonunion of the ulna after elastic stable intramedullary nailing for unstable forearm fractures: a case series.

作者信息

Ballal Moez S, Garg Neeraj K, Bruce Colin E, Bass Alfie

机构信息

Department of Paediatric Orthopaedic Surgery, Royal Liverpool Children's NHS Trust, Liverpool, UK.

出版信息

J Pediatr Orthop B. 2009 Sep;18(5):261-4. doi: 10.1097/BPB.0b013e32832f0648.

DOI:10.1097/BPB.0b013e32832f0648
PMID:19581817
Abstract

Elastic stable intramedullary nailing (ESIN) for displaced forearm fractures in children has shown good results over the last two decades. To our knowledge, nonunion as complications after ESIN fixation of displaced forearm fractures is not well reported in English literature. In our institute, and over a period of 10 years, we identified three cases of nonunion of the ulna after ESIN fixation of unstable and displaced forearm both bone fractures. Two patients had closed fractures and one patient had an open fracture. There was no deep infection in any case. All cases after revision surgery went into union.

摘要

在过去二十年中,弹性稳定髓内钉固定术(ESIN)治疗儿童移位型前臂骨折已显示出良好效果。据我们所知,英文文献中关于ESIN固定移位型前臂骨折后骨不连作为并发症的报道并不充分。在我们研究所,经过10年时间,我们发现了3例不稳定移位型双侧前臂骨折行ESIN固定术后尺骨骨不连的病例。2例为闭合性骨折,1例为开放性骨折。所有病例均无深部感染。翻修手术后所有病例均实现骨愈合。

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