弹性稳定髓内钉治疗儿童严重移位桡骨颈骨折的评估
Evaluation of severely displaced radial neck fractures in children treated with elastic stable intramedullary nailing.
作者信息
Klitscher Daniela, Richter Steffen, Bodenschatz Karl, Hückstädt Thomas, Weltzien Alexandra, Müller Lars Peter, Schier Felix, Rommens Pol Maria
机构信息
Department of Traumatology, University Medical Center Mainz, Mainz, Germany.
出版信息
J Pediatr Orthop. 2009 Oct-Nov;29(7):698-703. doi: 10.1097/BPO.0b013e3181b76895.
BACKGROUND
We performed a retrospective case study of 28 consecutive severely displaced radial neck fractures (Judet types III and IV) in children treated with elastic stable intramedullary nailing using the Metaizeau technique.
METHODS
We reviewed all preoperative radiographs and classified the injuries according to Judet. All patients were asked to return for later assessment. They underwent physical examination; radiographs were taken; and they were asked for subjective assessment. An evaluation of clinical results was performed using the Mayo Elbow Performance Score (MEPS).
RESULTS
According to Judet classification there were 13 type III and 15 type IV fractures. Using the MEPS, excellent results were achieved in 23 cases (82%) and good results in 5 cases (18%). The average MEPS was 97 points. Five patients complained of mild pain. Three malunions were observed.
CONCLUSIONS
Elastic stable intramedullary nailing is a minimally invasive technique, allowing stable fixation and providing excellent to good outcomes with a low complication rate.
LEVEL OF EVIDENCE
We performed a retrospective level 4 study of case series.
背景
我们对连续28例采用梅塔佐技术行弹性稳定髓内钉固定治疗的儿童严重移位桡骨颈骨折（朱代III型和IV型）进行了回顾性病例研究。
方法
我们回顾了所有术前X线片，并根据朱代分类法对损伤进行分类。所有患者均被要求复诊以进行后期评估。他们接受了体格检查、拍摄了X线片，并被要求进行主观评估。使用梅奥肘关节功能评分（MEPS）对临床结果进行评估。
结果
根据朱代分类法，有13例III型骨折和15例IV型骨折。使用MEPS评估，23例（82%）取得了优异结果，5例（18%）取得了良好结果。MEPS平均为97分。5例患者主诉轻度疼痛。观察到3例骨愈合不良。
结论
弹性稳定髓内钉固定是一种微创技术，能实现稳定固定，并发症发生率低，可取得优异至良好的治疗效果。
证据水平
我们进行了一项回顾性4级病例系列研究。
Zotero 插件