摘要
[目的]观察用两枚预弯的钛合金弹性髓内针治疗35例(36侧)多种类型儿童股骨干骨折的疗效。[方法]全麻下,采用手法或小切口切开复位,两枚钛合金弹性髓内针预弯后经股骨内外髁(骨骺线以上)逆行插入髓腔交叉固定股骨干骨折。所有病例均随访观察2月～2年(平均13个月)。[结果]所有病例均一期愈合,骨折复位良好,愈合满意,髋膝踝关节活动正常,无骨折不愈合及畸形愈合等并发症。[结论]弹性髓内针是治疗儿童股骨骨折的有效方法。该法操作简单,固定可靠,骨折愈合时间短,并发症少,疗效满意。
[ Objective ] To evaluate the results of using two beforehand bended elastic intramedullary nails in the treatment of 35 children （36 sides） with femoral shaft fractures. [Methods] In general anaesthesia, femoral shafts were restored with close reduction or minimal invasive operative technique, two elastic intramedullary nails which beforehand bended were conversely inserted the cavity from femoral condyles （beyond epiphyseal line） for fixing fractures. All patients were followed for two months-two years （mean 13 months） . [ Results] All wounds healed up at first intention. All femoral shaft fractures obtained satisfying restoration after immobilization.All patients had full range of motion in the eoxa, knee and ankle joints without malunion or nonunion. [Conclusion] Elastic intramedullary nailing is suitable for treating femoral shaft fractures in children. It is easy for operation, reliable for fixation, quick for healing.
出处
《现代预防医学》
CAS
北大核心
2008年第13期2549-2549,2551,共2页
Modern Preventive Medicine
关键词
弹性髓内针
股骨干骨折
Elastic intramedullary nail
Femoral shaft fracture
