【摘要】 目的 探讨儿童胫骨棘骨折简单有效的治疗方法。方法10具8～12岁儿童尸体双膝解剖研究,模拟Ⅲ型胫骨棘骨折丝线内固定,屈伸膝关节观察骨折块稳定性,发现在膝伸直位复位后的骨折块前后方均无移位;对14例临床病例进一步观察,得出同样的结果。对8例切开复位者采用经骨骺而不通过骺板的丝线内固定。结果 所有病例随访1～5年均获优良效果。结论 骨折复位后宜伸膝位固定；不通过骺板的丝线内固定，有诸多优点。
Anatomical change and treatment for fracture of tibial spine in children
LIN Jianjun ,HU Chengen, CAO Shengjun,et al
（Dept. of Orthopaedics, The First Affiliated Hospital, Hengyang Medical College, Hengyang 421001, China）
【Abstract】 Objective To explore an effective treatment for fracture of tibial spine .Methods The type III tibial spine fracture with silk suture fixation was mimicked on bilateral knee joints of 10 cadavers ( aged 8～12 years).The fracture pieces were stable in knee extended fixation. Fourteen patients of tibial spine fracture underwent closed reduction and internal fixation , and 8 cases received open reduction and silk sutures fixation through epiphysis .Results All cases were followed-up for 1-5 years with satisfactory results.Conclusions Fixation by silk suture and immobilization on knee straight position are reasonable in fracture of tibial spine in children.
【Key words】 Fracture; Tibial; Child; Anatomy
资料与方法
一、尸体解剖研究
1.材料
10具8～12岁经质量分数为20%福尔马林液浸泡处理过双膝完好的尸体标本,平均年龄10.8岁,死因不详,男7例,女3例。平均身高138.6cm。
[1] 2 3 4 下一页
