[1]宫伟,王建嗣△,李炳钻,等.弹性髓内钉与皮肤牵引治疗学龄前儿童股骨转子周围骨折的疗效比较[J].中国中医骨伤科杂志,2024,32(12):15-19.[doi:10.20085/j.cnki.issn1005-0205.241203 ]
　GONG Wei,WANG Jiansi,LI Bingzuan,et al.Elastic Intramedullary Nail Combined with Skin Traction on the Treatment of Peritrochanteric Fracture of the Femur in Preschool Children[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(12):15-19.[doi:10.20085/j.cnki.issn1005-0205.241203 ]
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弹性髓内钉与皮肤牵引治疗学龄前儿童股骨转子周围骨折的疗效比较()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年12期
页码:
15-19
栏目:
临床研究
出版日期:
2024-12-15

文章信息/Info

Title:
Elastic Intramedullary Nail Combined with Skin Traction on the Treatment of Peritrochanteric Fracture of the Femur in Preschool Children
文章编号:
1005-0205(2024)12-0015-05
作者:
宫伟1; 王建嗣1△; 李炳钻1; 蔡秀英1; 揭强1; 练志平1
1泉州市正骨医院(福建 泉州,362000)
Author(s):
GONG Wei1; WANG Jiansi1△; LI Bingzuan1; CAI Xiuying1; JIE Qiang1; LIAN Zhiping1
1Quanzhou Orthopaedic-Traumatological Hospital,Quanzhou 362000,Fujian China.
关键词:
股骨;  转子间骨折;  转子下骨折;  弹性髓内钉;  皮肤牵引;  学龄前儿童
Keywords:
femur;  intertrochanteric fractures;  subtrochanteric fractures;  elastic intramedullary nail;  skin traction;  preschool children
分类号:
R683.42
DOI:
10.20085/j.cnki.issn1005-0205.241203
文献标志码:
A
摘要:
目的:比较弹性髓内钉与屈髋屈膝位皮肤牵引治疗学龄前儿童股骨转子周围骨折的临床效果。方法:选取自2020年1月至2023年8月治疗的50例学龄前儿童股骨转子周围骨折患者,根据不同的治疗方式分为两组:弹性髓内钉组25例,采用闭合复位弹性髓内钉治疗; 皮肤牵引组25例,采用手法复位屈髋屈膝位皮肤牵引结合支具治疗。记录并比较两组患者的骨折愈合时间、随访时间、髋关节功能及并发症等情况。结果:50例患儿均获得随访,两组患者的随访时间差异无统计学意义(P>0.05); 两组患者的骨折愈合时间差异无统计学意义(P>0.05); 按Sanders评分标准,两组患者的患侧髋关节功能优良率差异无统计学意义(P>0.05); 两组患者的并发症发生率差异无统计学意义(P>0.05)。结论:弹性髓内钉和皮肤牵引治疗学龄前儿童股骨转子周围骨折,均能取得比较好的临床疗效。弹性髓内钉组的稳定性更好,但需要再次麻醉下取钉; 而皮肤牵引组在牵引过程中骨折端易移位,往往需多次调整,增加患儿痛苦和辐射,但没有切口,也不需要麻醉。
Abstract:
Objective:To compare the clinical efficacy of elastic intramedullary nail and skin traction in hip flexion and knee flexion position on the treatment of peritrochanteric femoral fractures in preschool children.Methods:A total of 50 preschool children with peritrochanteric fractures treated from January 2020 to August 2023 were selected.According to different treatment methods,they were divided into two groups:25 cases in the elastic intramedullary nail group were treated with closed reduction and elastic intramedullary nail; In the skin traction group,25 cases were treated with manual reduction and skin traction combined with brace in hip flexion and knee flexion position.The fracture healing time,follow-up time,hip function,and complications were recorded and compared between the two groups.Results:A total of 50 children were followed up,and there was no significant difference in the follow-up time between the two groups(P>0.05).There was no significant difference in fracture healing time between the two groups(P>0.05).According to the Sanders score,there was no significant difference in the excellent and good rate of hip joint function between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Both elastic intramedullary nail and skin traction can achieve good clinical results on the treatment of femoral peritrochanteric fractures in preschool children.The elastic intramedullary nail group has better stability,but the nail needs to be removed under anesthesia again.In the skin traction group,the fracture end was easy to shift during the process of traction,which often required multiple adjustments,increasing the pain and radiation of the children,but there was no incision and no anesthesia.

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备注/Memo

备注/Memo:
基金项目:泉州市2021年医疗卫生领域指导性科技计划项目(泉科〔2021〕150号)
△通信作者 E-mail:wjsqzzg@163.com
更新日期/Last Update: 2024-12-05