Dissertation > Excellent graduate degree dissertation topics show

The Clinical Study of Monteggia Fracture without Surgical Treatment in Children

Author: WangWei
Tutor: WangXiaoDong
School: Suzhou University
Course: Pediatrics
Keywords: children Monteggia’s fracture manipulative reduction conservative treatment therapeutic effect
CLC: R726.8
Type: Master's thesis
Year: 2011
Downloads: 21
Quote: 0
Read: Download Dissertation

Abstract


Objective: To analysis the clinical features, conservative treatment’s advantages compared with surgical treatment for the fresh Monteggia’s fracture in children. And to evaluate the factors affecting reduction and prognosis of Monteggia fracture.Materials and Methods: A retrospective study for 72 patients of fresh Monteggia’s fractures in children who were treated in our hospital from May 2006 to June 2010 and were followed up. 6 cases of them had the never injuried clinical menifetation .46 cases of them were treated conservatively and these patients are regarded as group of A; 26 cases of them were treated with surgical treatment and these patients are regarded as group of B. Fixation measures conclude TEN / Kirschner wire/steel plate or annular ligament and joint capsule repaired were added. Stage functional exercises were taken in the late stage.We measured the injured elbow flexion and extension/ rotation range, and measured the activities of the contralateral normal elbow flexion and extension / rotation range during follow-up . Calculated the motion score and elbow function score (JOA)of each patient. And calculated the elbow functional assessment by Li Hanmin’s elbow function classification. We make the statistical analysis for the two groups.Results: All patients were followed up for 8 months to 4 years 6 months (average 3.2 years). According to Li Hanmin’s elbow function classification , the group of A was classificed, 37 excellent , 7 good, 2 fair , and no poor case . the excellent and good rate is 95.7%, the group of B , 14 excellent, 4 good, 3 fair , no poor case, excellent and good rate of 84.5%, the elbow function of group A is better than the group of B (P <0.05); All of the cases of nerve injury were relieved nerve exploration, observated by 3 month to 6 months, returned to normal.Conclusions: 1.The Monteggia’s fracture in children should first be treated conservatively. The outcome of the group of conservative treatment is better than the control group of surgical treatment. 2. Reduction should be given as soon as possible ,to avoid artificially extend the time of treatment.3. After analyzing the actors which effect reduction and then decide the next treatment in those patients who are unable to have a successful reduction with manipulative reduction. 4. Most of the neurologic complication following Monteggia fractures need not never exploration, and most of them can get recovery between one to three months. If they can’t get recovery after tsix months, we should take the surgical operation to explore the never. 5.The stage functional exercise is very important to enhance the excellent and good rate of elbow function in the late stage.

Related Dissertations

  1. The Research of Children’s Medical Environment Based on New Medical Mode,TU246.1
  2. The Influence of Reputation on Preschool Children’s Transgression Behaviors,B844.1
  3. Social exclusion of migrant children in the Perspective of the New Exploration of compulsory education,G521
  4. Professor Kong Guangyi academic thought Qing Xuan main Treating children cold cough,clinical research and clinical experience,R249.2
  5. Professor Wang Yinglin academic thought and clinical experience and treatment of the palate and features of drug research in the original look of the children cold fever,R249.2
  6. Space environment of rural children left behind boarding schools,TU244.2
  7. Research on Present Situation and Influence Factors about Young Chrendren’s Tennis in Xi’an,G845
  8. Study on the Rural Left-behind Children’s Studies Question and Its Factors Based on the Case of Min-le Middle School of Conghua, Guangzhou,G521
  9. Research on Influences and Defense Mechanism of Education in Cultivation for Children Left Behind in Village by Vulgar Culture,G632.4
  10. Study on Current Situation and Countermeasures to performative Children Basic Gymnastic in Shangdong Province,G613.7
  11. An Investigation of the Present State of Physical Health and Lifestyle of the Left-behind Children in Jiangxi’s Rural Areas,G527
  12. Assessment of Efficicy of Transarterial Chemoembolization by Gelfoam Particles Using DSCT Perfusion Imaging for Hepatocellular Carcinoma,R735.7
  13. Research on Stay-at-home Experience of Childhood on the Impact of College Students’ Values,G641
  14. Physical exercise intervention on private school children left behind physical health promotion and research interest in sports culture experiments,G804.49
  15. Two kinds of knee osteoarthritis treatment methods and Cost Analysis,R687.3
  16. Clinical analysis of 268 cases of premature,R714.2
  17. The Research about Living and Learning of "the Children-Staying-in-Local" in the Compulsory Education in the Westward Countryside of Chongqing Province,G527
  18. Research on Family Education of the Left-behind Children,G78
  19. The Case Study of the School Factors on the Academic Achievement of the Left-behind Children,G521
  20. The Research on the Socialization of Left-Behind Chindren in Rural Suizhou,D669.5

CLC: > Medicine, health > Pediatrics > Pediatric surgery > Pediatric bone science
© 2012 www.DissertationTopic.Net  Mobile