桡骨骨折闭合复位：一例报告。
Closed reduction of radius refracture: A case report.
作者信息
Shahid Mohammad, Yeo Mildrid, Smibert John Graham
机构信息
Department of Orthopaedics and Traumatology, Yeovil District Hospital, Yeovil BA214AT, England, United Kingdom.
出版信息
Int J Surg Case Rep. 2011;2(8):275-7. doi: 10.1016/j.ijscr.2011.09.001. Epub 2011 Sep 7.
INTRODUCTION
Refractures of the radius and ulna in the paediatric patient with flexible intramedullary nails in situ are known to occur. There are no formal guidelines currently in the literature to guide the management of such fractures.
PRESENTATION OF CASE
A 10-year-old Caucasian girl, sustained a closed refracture of the radius at the same level, with the flexible intramedullary nails in situ to treat her recent ulna and radius fractures.
DISCUSSION
We proposed a new non-invasive way of reducing and maintaining such fractures without removal of the bent nail completely.
CONCLUSION
This method does not significantly reduce the mechanical strength of the nail, as we do not advocate applying an external lateral force, which would compromise nail mechanical strength and eventually lead to breakage of the nail in situ.
引言
小儿患者使用弹性髓内钉固定时，桡骨和尺骨发生再骨折是已知的情况。目前文献中没有正式的指南来指导此类骨折的处理。
病例介绍
一名10岁的白种女孩，在同一水平发生桡骨闭合性再骨折，其弹性髓内钉仍在位，该髓内钉是用于治疗她近期的尺骨和桡骨骨折的。
讨论
我们提出了一种新的非侵入性方法来复位和固定此类骨折，而无需完全取出弯曲的钉子。
结论
这种方法不会显著降低钉子的机械强度，因为我们不主张施加外侧外力，那样会损害钉子的机械强度并最终导致钉子在原位断裂。
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