弹性髓内钉治疗儿童股骨干骨折疗效分析
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Effect of elastic stable intramedullary nailing on treatment of the femoral shaft fractures in children
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    目的:探讨弹性髓内钉(ESIN)治疗儿童股骨干骨折的疗效-方法:2006年8月~2008年l2月共收治儿童股骨干骨折68例,在骨科牵引床上复位,采用C型臂X线机透视下行顺行或逆行弹性髓内钉固定术-不稳定性骨折患儿术后行髋人字石膏固定4周,去除石膏后进行功能锻炼-结果:68例患者术后经平均10个月(6~30个月)随访-骨折愈合时间平均为l1周(8~12周),无再骨折-骨不连的发生,髋-膝关节活动正常-出现钉尾激惹反应8例-肢体短缩2例-拔钉困难5例-结论:弹性髓内钉治疗儿童股骨干骨折,具有微创-避免骨折端2次损伤的优点,疗效好,并发症少,可作为治疗移位明显的儿童股骨干骨折的首选方法-

    Abstract:

    Objective:To investigate the technique of using elastic stable intramedullary nailing(ESIN) on treatment femoral fractures in children and assess the clinical outcome. Methods:Sixty-eight patients with displaced femoral shaft fractures were treated by ESIN from August 2006 to December 2008. Results:All patients were followed up for average 10 months(6~30 months). The average time of bone healing was 11 weeks(8~12 weeks). All had full range of motion in the near joints and got excellent results without refracture,delayed union or non-union,and rotational deformity. Eight cases had irritation at nail insertion site. Two cases had 1.0~1.5 cm shortening deformity of the femur. Five cases had difficulties associated with removal of nails. Conclusion:The method of ESIN deserves to be a simply and minimally invasive way for the treatment of the femoral fractures in children.

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刘〓飞,楼〓跃,唐〓凯,潘新华,张志群,林〓刚,孙祥水,倪〓磊,王〓磊,董〓展,郑鹏飞.弹性髓内钉治疗儿童股骨干骨折疗效分析[J].南京医科大学学报(自然科学版),2010,(1):73-76

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  • 收稿日期:2009-08-03
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