钛制弹性髓内钉治疗儿童前臂骨折的临床观察

Clinical observation of using titanium elastic nails for the treatment of forearm fractures in children

目的探讨钛制弹性髓内钉(titanium elastic nails,TEN)在治疗儿童前臂骨折中的临床疗效。方法回顾分析2010年6月~2015年2月收治的48例儿童前臂骨折,其中男性31例,女性17例;年龄3~15岁,平均7.2岁。在C型臂X线机辅助下,应用TEN内固定手术治疗,分析其手术情况、骨折愈合情况、术后并发症发生率等。结果所有患儿均得到随访,随访时间6~56个月,平均26个月。骨折全部愈合,取出内固定时间3~10个月,平均5个月。所有病例无感染,无关节功能障碍,2例出现骨折延迟愈合,无骨不连发生。3例出现畸形愈合,角度<10°,未予以特殊处理。结论弹性髓内钉作为目前公认的治疗儿童前臂骨折的首选方案,在严格掌握手术适应证的情况下,取得了较好的临床疗效。

Objective To investigate the clinical effect of titanium elastic nails（TEN） in the treatment of forearm fracture in children. Methods The clinical data of 48 cases of children with forearm fractures treated by internal fixation with the help of ＂C arm＂ X-ray machine and the application of TEN from Jun. 2010 to Feb. 2015 in our departmen was reviewed. The operation, the fracture healing and the incidence of postoperative complications were analyzed. Results All the patients were followed up for 6 to 56 months, with an average of 26 months. All fractures healed within 3 to 10 months （average ,5 months）. The average duration to take out the internal fixation was 5 months. Neither infection nor joint dysfunction occurred. Two cases of fracture had delayed union, but no non- union happened. Three cases with malunion and angle less than 10 degrees did not receive any special treatment. Conclusion TEN is the first choice for the treatment of forearm fracture in children, and it has achieved good clinical results with strict indications of surgical treatment.