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目的探讨外固定架在儿童陈旧性孟氏骨折的治疗中的应用。方法 20例患者均经X线片证实有尺骨近端骨折畸形愈合,桡骨头脱位。均予桡骨头切开复位,尺骨近端截骨、外固架固定。结果优14例,良4例,差2例,优良率90%。结论外固定架治疗儿童陈旧性孟氏骨折矫正尺骨畸形更为有效,手术更为容易,骨折愈合后无需二次手术取出内置物。
Objective To investigate the application of external fixator in the treatment of old Monteggia fracture in children. Methods Twenty patients were confirmed by X-ray films of proximal ulnar fracture malunion and dislocation of the radial head. All radial head incision and reduction, proximal ulna osteotomy, external fixation. Results excellent in 14 cases, good in 4 cases, poor in 2 cases, excellent and good rate of 90%. Conclusion Outer fixator is more effective in the treatment of old Monteggia fracture in children, which is more effective in the treatment of ulnar deformity. The operation is easier and the internal fixation can be removed without secondary surgery after the fracture is healed.