背景:桡骨颈骨折占肘部骨折的5-17%,约占儿童所有骨折的1%。本研究的主题是评估Metaizeau技术治疗儿童孤立性桡骨颈骨折的临床和放射学结果。
方法:回顾性分析2015年至2020年在我们部门接受Metaizeau技术治疗的患者的临床和放射学数据。20例孤立性桡骨颈骨折患儿符合纳入标准。
结果:95%的儿童获得了良好的手术治疗效果。文献中没有描述的并发症(例如桡骨头无血管坏死(AVN),malunion,在我们的病例系列中观察到不连)。
结论:1.Metaizeau技术使用TEN减少和稳定桡骨颈骨折是儿科人群中一种安全有效的方法,可产生良好的临床和放射学结果。2.此外,它对手术设备的最低要求使这种技术有可能被推荐给治疗儿科创伤患者的骨科医生。
BACKGROUND: Radial neck fractures account for 5-17% of elbow fractures and about 1% of all fractures in children. The subject of the presented research is assesment of clinical and radiological outcomes of the Metaizeau technique for treatment of isolated radial neck fractures in children.
METHODS: Retrospective analysis of clinical and radiological data of patients treated with the Metaizeau technique in our Department between 2015 and 2020. Twenty children with isolated radial neck fracture met the inclusion criteria.
RESULTS: Excellent outcomes of operative treatment were achieved in 95% of children. None of the complications described in the literature (e.g. avascular necrosis of radial head (AVN), malunion, nonunion) were observed in our
case series.
CONCLUSIONS: 1. The Metaizeau technique for reduction and stabilisation of the radial neck fracture using a TEN is a safe and effective method in the paediatric population and produces good clinical and radiological results. 2.Furthermore, the minimal demands it places on surgical equipment make it possible for this technique to be recommended to orthopaedic surgeons managing paediatric trauma patients.