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目的总结尺桡骨截骨旋转矫形治疗先天性尺桡骨融合的临床经验。方法自2000年8月—2004年6月共手术治疗先天性尺桡骨融合5例(9侧),对严重畸形(旋前70°~110°)7侧,行尺桡骨截骨旋转矫形术。结果术后随访时间为18~64个月,平均35个月。截骨处骨折愈合时间平均为6.5周,无矫正丢失,前臂固定于旋前20°~25°的位置,患儿对目前手功能自觉满意。结论尺桡骨截骨旋转矫形是治疗先天性尺桡骨融合简单而有效的方法。
Objective To summarize the clinical experiences of radioulnar osteotomy and rotation orthopedics in the treatment of congenital ulna and radius fusion. Methods From August 2000 to June 2004, 5 cases (9 sides) of congenital fusion of radius and ulna were treated with radius and radius osteotomy rotation and 7 cases of severe deformity (70 ° ~ 110 ° pronate). Results The follow-up time was 18 to 64 months with an average of 35 months. Fracture healing time averaged 6.5 weeks, no loss of correction, forearm fixed in pronation 20 ° ~ 25 ° position, the children satisfied with the current hand function. Conclusion Radius and ulna osteotomy rotation orthopedic is a simple and effective method for the treatment of congenital ulna and radius fusion.