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目的：探讨儿童孟氏骨折的临床特点及治疗效果．方法：报道５８例儿童孟氏骨折．患儿平均年龄７．１岁（２岁～１４岁）．新鲜骨折４７例，陈旧骨折１１例；开放性损伤３例，闭合性损伤９例；合并桡神经损伤５５例．作者对上述骨折进行临床分型，采用闭合复位加外固定治疗２２例，切开复位内固定治疗３７例，桡神经修复１例．结果：４９例经随访半年～３年（平均１４个月），优良率为９３．９％．结论：儿童孟氏骨折与成人不同，宜将此类损伤分为五型并使用不同的治疗方案．开放性骨折、闭合性骨折复位不理想、影响功能的陈旧骨折、合并桡神经损伤者均应行手术治疗．
Objective: To investigate the clinical features and treatment of Monteggia fractures in children. METHODS: Fifty-eight children with Monteggia fracture were reported. Children with an average age of 7.1 years (2 years old to 14 years old). 47 cases of fresh fractures, 11 cases of old fractures; open injury in 3 cases, closed injury in 9 cases; combined radial nerve injury in 55 cases. The clinical classification of the above fractures, the use of closed reduction plus external fixation in 22 cases, open reduction and internal fixation in 37 cases, 1 case of radial nerve repair. Results: 49 cases were followed up for six months to three years (mean 14 months), the excellent and good rate was 93.9%. CONCLUSIONS: Children’s Monteggia fractures are different from adults and should be classified into five types and use different treatment options. Open fracture, closed fracture reduction is not ideal, affect the function of the old fracture, radial nerve injury should be treated surgically.