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[钢丝内固定治疗儿童肱骨骨折]

[Treatment of childhood humeral fractures by wire fixation].

作者信息

Nagy A

出版信息

Magy Traumatol Orthop Helyreallito Seb. 1977;20(3):182-9.

PMID:22785
Abstract

Out of 526 upper limb fractures treated in the Pediatric Surgery Department of the Péterfy Sándor Hospital between 1970-1975, 63 patients were operated on. (11.9%). Fractures in childhood are generally treated by closed methods because healing of the growing bone is favourable. If it is reasonable, fractures of the forearm bones are successfully treated by means of intramedullary wire fixation, fractures of the elbow by means of transfixation. No septic complication occured following operation. Growth disturbancies were not observed in the affected bones after the operative intervention in the course of 1 to 5 years. On this ground the author recommends the adaptational "minimal" osteosynthesis in the treatment of fractures in infancy, if closed methods do not promise optimal results.

摘要

1970年至1975年间,彼得菲·山多尔医院小儿外科共治疗526例上肢骨折,其中63例接受了手术治疗(占11.9%)。儿童骨折一般采用闭合方法治疗,因为生长中的骨骼愈合良好。如果合理,前臂骨骨折可通过髓内钢丝固定成功治疗,肘部骨折可通过贯穿固定治疗。术后未发生感染并发症。在1至5年的手术干预后,未观察到受影响骨骼的生长障碍。基于此,作者建议在婴儿骨折治疗中,如果闭合方法不能保证最佳效果,可采用适应性“最小化”骨接合术。

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