Verstreken L, Delronge G, Lamoureux J
Department of Orthopaedics, Children University Hospital--Queen Fabiola, Brussels, Belgium.
J Pediatr Orthop. 1988 Jul-Aug;8(4):450-3. doi: 10.1097/01241398-198807000-00013.
Nailing is a good solution for shaft forearm fractures in children who require surgery. A closed reduction is very often possible owing to the bent tip of the pins. The procedure avoids extensive dissection, unlike epiphyseal plates. When a nailing is performed, the distal approach for both bones is the most convenient, avoiding elbow pain on the proximal ulnar incision. Six children of 57 had unacceptable reduction following conservative treatment and underwent intramedullary fixation. An immediate mobilization was possible in all patients. We observed neither delays in union nor recurrent fractures. The range of motion was normal in the postoperative period and at the 1 year follow-up.
对于需要手术治疗的儿童尺桡骨干骨折，髓内钉固定是一种不错的解决方案。由于髓内钉尖端呈弯曲状，常常可以进行闭合复位。与骨骺板不同，该手术避免了广泛的解剖。进行髓内钉固定时，经远端入路处理两根骨骼最为便捷，可避免近端尺骨切口引起的肘部疼痛。57例患儿中有6例经保守治疗后复位效果不佳，接受了髓内固定。所有患者均能立即活动。我们未观察到骨愈合延迟或再发骨折的情况。术后及1年随访时活动范围均正常。
