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[儿童前臂中三分之一移位骨折。治疗考量]

[Displaced fractures of the middle third of the forearm in children. The therapeutic considerations].

作者信息

Goţia D G, Apostol D, Ardelean M, Trandafir M, Botez C

机构信息

Clinica de Chirurgie şi Ortopedie pediatrică, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.

出版信息

Rev Med Chir Soc Med Nat Iasi. 1996 Jan-Jun;100(1-2):107-11.

PMID:9455407
Abstract

There been studied 100 cases of fractures of the middle third of both bones of forearm in child for to assess the correctitude of the therapy, based on the analysis of results. The most correct surgical techniques consist of osteosynthesis with Kirschner wire of the both bones, knowing the particularities of the fracture linea in child and the minimal tissues' damages. In the child younger then 10 years old, the open reduction is rarely necessary. Any displaced fracture of middle third of both bones of forearm, whatever the age of the child would be orthopedically reduced, before performing the surgical therapy. The unstable osteosynthesis such as simple screw "osteosynthesis" with wire or thread are contraindicated.

摘要

研究了100例儿童双侧前臂中1/3骨折病例,以便根据结果分析评估治疗的正确性。最正确的手术技术包括用克氏针对双侧骨骼进行骨固定,同时了解儿童骨折线的特殊性以及对组织的最小损伤。对于10岁以下的儿童,很少需要切开复位。无论儿童年龄多大,在进行手术治疗之前,任何双侧前臂中1/3的移位骨折都应进行骨科复位。不适合采用如简单的钢丝或丝线螺钉“骨固定”等不稳定的骨固定方法。

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Rev Med Chir Soc Med Nat Iasi. 1996 Jan-Jun;100(1-2):107-11.
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