Effect of T plate in the treatment of older children with Salter-Harris H type of radial neck fracture
10.3760/cma.j.issn.1008-6706.2015.04.025
- VernacularTitle:应用T型钢板治疗大龄儿童桡骨颈Salter-Harris Ⅱ型骨折的临床效果研究
- Author:
Zheng LIU
;
Dahua HUANG
;
Youcheng WANG
;
Shuli YU
;
Jing CHEN
- Publication Type:Journal Article
- Keywords:
Radial neck fracture;
T steel plate;
Fracture fixation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(4):553-555
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the influence of radial neck fracture on the upper limb function in older children,and to evaluate the curative effect of plate fixation in the treatment of Salter-Harris Ⅱ type of radial neck fracture.Methods The clinical data of 16 older children with radial neck fractures who treated by T plate internal fixation were retrospectively analyzed.16 cases were closed fractures,merging radial nerve injury in 1 case,3 cases of distal humerus fractures,1 case with rib fractures,fractures were Salter-Harris Ⅱ type,adopt steel plate internal fixa tion.Results 1 6 patients were followed up for 9-1 8 months.X-ray healing time was 6-9 weekson average 7.6 weeks.No malunion and no healing,no case of epiphyseal injuries.1 patient appeared steel block forearm supination.Postoperative patients with forearm pronation were greater than 90° supination were greater than 60 °.No radial nerve injury.Evaluation results were good.Conclusion Clinical treatment effect of open reduction and plate internal fixation in the treatment of older children with Salter-Harris Ⅱ type of radial neck fracture is satisfactory.Surgical treatment not only can enhance the fracture stability,but also can do the elbow joint function exercise to prevent dysfunction much earlier.
