摘要目的 探讨钛制弹性髓内钉(titanium elastic intrameduary nail,TEIN)治疗儿童桡骨颈骨折的临床效果.方法 2008年2月-2010年2月共收治16例儿童桡骨颈骨折患者,应用TEIN进行复位固定.术后长臂石膏后托外固定1周,去除外固定后进行功能锻炼.结果 16例患者术后经平均5.3个月(3.5～14.0个月)随访.骨折愈合时间平均为5.8周(4～7周).除1例患者出现钉尾皮肤软组织刺激症状外,未发现其他并发症.所有患者的患侧肘关节和前臂的活动度均与健侧相同.结论 TEIN治疗儿童桡骨颈骨折,具有损伤小、不影响骨骺、骨折愈合好、患肢功能恢复快、并发症少等优点,是治疗儿童桡骨颈骨折的理想选择之一.

abstractsObjective To discuss the clinical effect of titanium elastic intrameduUary nail (TEIN)in treatment of pediatric radial neck fractures. Methods A total of 16 children with radial neck fractures were treated TEIN from February 2008 to February 2010.Long arm cast immobilization was used one week postoperatively and functional exercise was done after removal of the external fixation.Results All the patients were followed up for average 5.3 months (3.5-14.0 months),which showed the average period of bony union for 5.8 weeks(4-7 weeks).Except for one patient who aroused skin soft-tissue irritation symptoms at the nail end,no other complication was found.The range of motion of the elbow and forearm in injury side of all patients Was the same as the normal side. Conclusions The application of TEIN has advantages of minimal invasive lesion,nil effect on pheseal plate,good fracture union,rapid functional rehabilitation and little compliations and hence is one of ideal choices in treatment of pediatric radial neck fracture.