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儿童桡骨颈骨折的治疗:100例患者的回顾性分析

Management of radial neck fractures in children: a retrospective analysis of one hundred patients.

作者信息

D'souza S, Vaishya R, Klenerman L

机构信息

University Department of Orthopaedic and Accident Surgery, Royal Liverpool Children's Hospital, Alder Hey, England.

出版信息

J Pediatr Orthop. 1993 Mar-Apr;13(2):232-8.

PMID:8459018
Abstract

One hundred patients with radial neck fractures treated at the Royal Liverpool Children's Hospital, Alder Hey, were analyzed. Excellent and good results were obtained consistently after closed manipulation. Open reduction was often followed by a fair or poor result. Operative correction should not be attempted unless the radial head is displaced > 5 mm or unless residual angulation is > 45 degrees. Transcapitellar K-wire fixation has serious complications. Avascular necrosis (AVN), radial head enlargement, and notching of the radial neck were the most common complications.

摘要

对在奥尔德希皇家利物浦儿童医院接受治疗的100例桡骨颈骨折患儿进行了分析。闭合手法复位后通常能获得优良效果。切开复位后结果往往一般或较差。除非桡骨头移位>5mm或残留成角>45度,否则不应尝试手术矫正。经肱骨小头克氏针固定有严重并发症。缺血性坏死(AVN)、桡骨头增大和桡骨颈切迹是最常见的并发症。

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