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孟氏骨折保守治疗桡骨头再脱位的原因分析 被引量:1

Reasons analysis on treating re-dislocation of radial head by monteggia fracture techniques
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摘要 目的:探讨孟氏骨折保守治疗后桡骨头再脱位的原因。方法:回顾自2006~2010年间手法整复失败后经手术治疗此损伤25例,通过分析受伤机制,观察X线表现和术中所见,结合局部解剖,对孟氏骨折手法复位后桡骨头出现再脱位的原因做分析探讨。结果:均获得随访,5~42个月,平均18个月。优22例,占88.0%;良3例,占12.0%。结论:滑脱和(或)撕裂的环状韧带坎墩于上尺桡关节之间、前臂骨间膜的撕裂等为影响复位后桡骨头稳定的重要因素。此类患者手术治疗效果满意。 Objective:To discuss the reasons on treating re-dislocation of radial head by Monteggia fracture techniques.Methods: 25 cases of manipulation failure after surgical treatment of this injury were reviewed since 2006 to 2010.Through analyzing the mechanism of injury,observing X-ray findings and intraoperative findings,combined with the local anatomy,to discussthe reason of re-dislocation of radial head.Results: all cases were followed up for 5 to 42 months,an average of 18 months.Excellent in 22 cases,accounting for 88.0%;good in 3 cases,for 12.0%.Conclusion: Surgical treatment of such patients with satisfactory results.
作者 张景义
机构地区 河南中医学院
出处 《中医临床研究》 2012年第4期93-94,共2页 Clinical Journal Of Chinese Medicine
关键词 MONTEGGIA骨折 治疗 桡骨头 再脱位 Monteggia fracture Treatment Radial head Re-dislocation
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