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目的:探讨儿童尺桡骨远端骨折的手术治疗方法及疗效。方法 :2007年1月~2012年12月,采用桡骨背侧T型钢板、尺骨弹性髓内针内固定方法治疗儿童尺桡骨远端骨折76例;疗效评价采用改良Gartland-Werley标准评定。结果:术后随访4个月~3年,按改良Gartland-Werley标准评定,优良率达97.37%。无患儿出现肌腱卡压、断裂现象。结论:桡骨背侧T型钢板、尺骨弹性髓内针内固定是治疗儿童尺桡骨远端骨折的一种安全可靠的手术方式。
Objective: To explore the surgical treatment of distal radius and ulna in children and its curative effect. Methods: From January 2007 to December 2012, 76 patients with distal radius and ulna fractures were treated with T-shaped radial plate dorsal plate and ulna elastic intramedullary nailing. The therapeutic effect was evaluated by the modified Gartland-Werley criteria. Results: All patients were followed up for 4 months to 3 years. According to the modified Gartland-Werley criteria, the excellent and good rate was 97.37%. No children appeared tendon compression, fracture phenomenon. CONCLUSION: T-shaped radial plate and internal fixation with ulna elastic nail are a safe and reliable operation for the treatment of distal radius and ulna fracture in children.