弹性髓内针在儿童前臂骨折治疗中的应用

Application of elastic stable intramedullary nailing for treating forearm fractures in children

目的总结弹性髓内针在儿童前臂骨折治疗中的应用，并评价其疗效。方法回顾性分析98例采用经皮钛制弹性髓内针治疗的前臂骨折患儿的临床资料，其中术后随访87例，失访11例。男59例，女39例，年龄3～16岁，中位年龄6．5岁。尺桡骨骨干骨折67例，桡骨颈骨折23例，孟氏骨折8例。结果术后随访4～36个月，随访的87例患儿术后全部达到骨性愈合，患儿无疼痛，无畸形，功能恢复优良；1例骨折延迟愈合，8例钉尾处有皮肤刺激征。结论弹性髓内针具有微创、容易处理软组织损伤及术后恢复快、疗效好，并发症少等优点，合理使用弹性髓内针用于治疗儿童治疗儿童前臂骨折，可以取得满意的手术效果。

Objective To summarize the application of elastic stable intramedullary nailing for treating forearm fractures in children and to evaluate its therapeutic effect. Methods A total of 98 cases of forearm fractures in children treated by elastic stable intramedullary nailing were analyzed, retrospectively. Eighty-seven cases were postoperatively followed up ,but 11 cases were lost. Fifty-nine cases were male ,39 cases were female, ageing from 3 to 16 year-old, and the mean age was 6.5 year-old. Sixty-seven cases were ulnar shaft fracture ,23 cases were radial neck fractures and 8 cases were Monteggia fracture. Results Patients were followed up 4 to 36 months. Eighty-seven cases successfully achieved complete healing. Patients recovered with no pain, no deformity and obtained excellent functional recovery. One case achieved delayed healing, and skin irritation was found in 8 cases. Conclusions Elastic stable intramedullary nailing is a minimally invasive, approch easy to deal with soft tissue injury, quick in recovery, and has a good curative effect and fewer complications. Rationally using elastic stable intramedullary nailing for treating forearm fractures in children can achieve satisfactory postoperative outcomes.