[1]肖仕辉△ 张向敏.弹性髓内钉治疗学龄前儿童股骨干骨折的临床疗效[J].中国中医骨伤科杂志,2021,29(04):57-59.
　XIAO Shihui ZHANG Xiangmin.Clinical Efficacy of Elastic Stable Intramedullary Nailing forPreschool Children Femoral Shaft Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(04):57-59.
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弹性髓内钉治疗学龄前儿童股骨干骨折的临床疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年04期
页码:
57-59
栏目:
临床报道
出版日期:
2021-04-15

文章信息/Info

Title:
Clinical Efficacy of Elastic Stable Intramedullary Nailing forPreschool Children Femoral Shaft Fractures
文章编号:
1005-0205(2021)04-0057-03
作者:
肖仕辉1△ 张向敏1
1广西来宾市人民医院关节创伤外科(广西 来宾,546100)
Author(s):
XIAO Shihui1△ ZHANG Xiangmin1
1Department of Joint and Trauma Orthopaedics,Laibin People’s Hospital,Laibin 546100,Guangxi China.
关键词:
弹性髓内钉;  学龄前儿童;  股骨干骨折;  闭合复位
Keywords:
elastic intramedullary nailing;  preschool children;  femoral shaft fracture;  closed reduction
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨弹性髓内钉治疗学龄前儿童股骨干骨折的临床应用疗效。方法:回顾性分析本院2014年5月至2019年6月采用弹性髓内钉治疗的21例学龄前儿童股骨干骨折患者的病例资料,其中男15例,女6例; 年龄 2～6岁,平均4.15岁。17例采用闭合复位,4例采用骨折端有限切开复位。术后1、3、6、9、12个月进行随访,行X线检查了解骨折愈合情况及观察术后相关并发症情况。结果:本组21例患者均获得随访,随访时间6～12个月,平均10个月。采用改良Flynn评分标准评定,21例患者的治疗结果全部为优秀,住院时间7～10 d,平均8.33 d; 骨折愈合时间8～12周,平均10周。其中2例患者出现钉尾部皮肤激惹,局部皮肤出现红肿,取出髓内钉后消失。2例患者出现患侧肢体延长,但均小于1 cm,对肢体功能影响不大,无肢体短缩病例。未发生骨折不愈合、延迟愈合、内固定失败、术后感染、旋转及成角等并发症。结论:对于无法耐受保守治疗的学龄前儿童股骨干骨折患者,弹性髓内钉治疗创伤小,骨折愈合快,肢体功能恢复快及并发症等优势。
Abstract:
To explore the clinical efficacy of elastic stable intramedullary nailing for preschool children femoral shaft fracture in children.Methods:A retrospective study was performed on 21 preschool children with femoral shaft fractures who treated with elastic stable intramedullary nailing from May 2014 to June 2019.There were 15 males and 6 females.The aged ranged from 2 to 6 years old with an average of 4.15 years old.17 cases were treated with closed reduction and limited open reduction of fracture was used in 4 cases.All patients were followed up for 12 months.X-ray examination was performed to evaluate the fracture healing and find out postoperative complications.Results:All 21 patients were followed up for 6 to 12 months with an average of 10 months.According to the modified flynn score,21 cases were treated with excellent results.The hospitalization time was 7 to 10 d(mean,8.33 d)and the fracture healing time was 8 to 12 weeks(mean,10 weeks).Among them,2 cases had skin irritation of nail tail.Local skin appeared redness and swelling,and disappeared after removal of intramedullary nail.2 cases had extension of the affected side limbs,but all of them were less than 1 cm,which had little effect on limb function.And there was no case of limb shortening.No complications such as nonunion,delayed union,failure of internal fixation,postoperative infection,rotation and angulation occurred.Conclusion:For preschool children with femoral shaft fracture who cannot tolerate conservative treatment,elastic intramedullary nailing has advantages of less trauma,faster healing,faster recovery of limb function and fewer complications.

参考文献/References:

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备注/Memo

备注/Memo:
△通信作者 E-mail:xiaoshihui007@126.com
更新日期/Last Update: 2021-04-15