弹性髓内钉治疗儿童前臂骨折疗效观察

Elastic stable intramedullary nailing fixation for forearm fractures in children

目的探讨弹性髓内钉治疗儿童前臂骨折的效果。方法48例儿童前臂骨折在C臂x线透视机下复位弹性髓内钉固定。结果术后随访12个月，除2例失随访外，按Berton评价标准评判与正常一侧比较。本组优37例，良7例，可2例。优良率95．2％。结论弹性髓内钉治疗儿童前臂骨折安全，微创，功能恢复良好。

Objective To investigate the efficacy of elastic intramedullary nailing fixation in the treatment of children＇s forearm fractures. Methods Forty - eight children with forearm fractures underwent elastic intramedullary nailing fixation by using the C - arm X - ray machine imaging system. A total of 46 cases were followed up for one year and the function of forearm was evaluated. Results The evaluation was made according to Berton＇s criteria by comparing the function of the diseased forearm with that of the normal one. The forearm function was regarded as （ 1 ）Well：fracture healing and forearm rotation function of more than 90% of normal ; （ 2 ） Good： fracture healing and forearm rotation function of more than 80% of normal ; （ 3 ） Moderate ：fracture healing and forearm rotation function of more than 60% of normal ; （4） Poor： malunion or forearm rotation function of less than 60% of normal. In this cohort, the forearm function was regarded as well in 37 patients, good in 7 ones, moderate in 2. The effective rate of elastic intramedullary nailing fixation for the treatment of ulna and radius fracture was more than 90% in this study. Conclusion Elastic intramedullary nailing fixation for the treatment of children＇s forearm fractures is safe and minimally invasive, and facilitates the recovery of function of the forearm.