Hamdi Mohamed Faouzi, Khelifi A
Department of Trauma and Orthopaedic Surgery, F.Bourguiba University Hospital, 5000 Monastir, Tunisia.
Musculoskelet Surg. 2011 Apr;95(1):49-52. doi: 10.1007/s12306-010-0092-5. Epub 2010 Dec 29.
Scaphoid fractures are uncommon in children, but if maltreated, they can result in nonunion. The authors report a case of left scaphoid nonunion in an 11-year-old boy. The operative management of this pseudarthrosis was performed (K-wire fixation and bone grafting of scaphoid). After a 10-month follow-up period, the left wrist regained a full range of motion with no impairment. The roentgenograms showed union of the scaphoid. Surgical management of scaphoid nonunion fractures in children offers successful fusion, with very low nonunion rate and patient's satisfaction.
舟骨骨折在儿童中并不常见,但如果治疗不当,可能会导致骨不连。作者报告了一例11岁男孩左舟骨骨不连的病例。对该假关节进行了手术治疗(克氏针固定和舟骨植骨)。经过10个月的随访期,左手腕恢复了全范围活动,无功能障碍。X线片显示舟骨愈合。儿童舟骨骨折不连的手术治疗可实现成功融合,骨不连率极低,患者满意度高。