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[目的]探讨儿童尺桡骨骨不连的治疗方法及预防措施。[方法]通过对32例儿童尺桡骨骨不连患者分别选用不同的内固定、自体骨移植、骨替代物、骨间膜松解以及局部皮瓣转移等综合治疗,术后及时功能锻炼。[结果]本组32例骨不连均骨性愈合,内置物无松动及断裂,前臂功能恢复理想。[结论]正确选择内固定方法、自体骨移植、骨替代物、骨间膜松解以及局部皮瓣转移等合理治疗方法,及时功能锻炼是治疗儿童尺桡骨骨不连的有效方法,合理选用内固定、减少局部组织损伤、预防感染、及时锻炼是预防儿童尺桡骨骨不连的重要环节。
[Objective] To explore the treatment and prevention of ulna and radius nonunion in children. [Methods] 32 cases of children with ulnar and ulnar bone nonunion patients were selected different internal fixation, autologous bone graft, bone substitutes, interosseous membrane release and local flap metastasis and other comprehensive treatment, timely postoperative functional exercise. [Results] All the 32 cases were treated with nonunion and anastomosis, the contents were free from loosening and rupture, and the forearm function recovery was satisfactory. [Conclusion] The correct choice of internal fixation method, autologous bone graft, bone substitute, interosseous membrane release and local skin flap transfer and other reasonable treatment methods, timely functional exercise is an effective method for the treatment of children with ulnar and radial nonunion, the rational use of internal Fixed, reduce local tissue damage, prevent infection, timely exercise is to prevent children with ulnar radius nonunion an important part.