儿童难复型桡骨远端骺离骨折的治疗

Treatment of the child irreducible epiphyseal separation of distal radius

目的探讨儿童难复型桡骨远端骺离骨折的治疗方法。方法对我院2003年1月至2008年12月期间收治的儿童难复型桡骨远端骺离骨折患儿,采用小切口直视下复位,克氏针固定,辅以前臂石膏托外固定治疗。结果随访6～24个月(平均12个月),骨折全部愈合。采用改良Gartland andwelley(GW)评分系统对腕部进行功能评定:优38例,良7例,可3例,总优良率93.7%。结论采用小切口直视下复位,克氏针固定治疗儿童难复型桡骨远端骺离骨折,操作简单,创伤小,固定可靠,并发症少。

Objective To evaluate the treatment of children with irreducible epiphyseal separation of distal radius. Methods Children with irreducible epiphyseal separation of distal radius that were hospitalized from January 2003 to December 2008 were treated by small incision reduction under direct vision and fixation with Kirschner pins together with forearm plaster cast fixation. Results The mean follow-up period was twelve months （range from six to twenty four months）. The functional evaluations were based on the modified Gartland and Werley＇s （GW） scoring system, excellent 38 in cases, good in 7 cases, fair in 3 cases. The overall excellent- good rate was 93.7%. Conclusion Our data suggest that small incision reduction under direct vision and fixa- tion with Kirschner pins techniques are ideal choices for treatment of the child irreducible epiphyseal separation of distal radius characterized by the simplicity of the surgical techniques, mionor trauma, reliable fixation and few complications.