摘要
目的探讨钛质弹性髓内钉治疗儿童股骨干骨折的疗效。方法采用弹性髓内钉治疗儿童股骨干骨折43例,其中男25例,女18例,年龄8～16岁,平均(12.17±3.86)岁。交通事故伤26例,跌倒摔伤12例,重物砸伤5例。骨折部位位于左侧19例,右侧22例,双侧2例;横形骨折23例,短斜形骨折15例,螺旋形骨折2例。采用弹性髓内钉内固定治疗,观察手术时间、术中出血量、住院时间、完全负重时间及骨折愈合时间等指标。结果 43例患者均获得随访,时间6～22个月,平均12个月,无感染、继发骨折移位及内固定物断裂现象发生,患者手术时间平均(45.32±16.87)min;出血量平均(38.42±15.27)ml;负重时间平均(9.72±8.15)周;骨折愈合时间平均(9.22±7.75)周;内固定取出时间平均(8.56±6.74)月。结论采用弹性髓内钉治疗儿童股骨干骨折符合生物学固定原则,创伤小,并发症少,是治疗儿童股骨干骨折的较好选择。
Objective To investigate the effect of titanium elastic intramedullary nail on treatment of the femoral shaft fractures in children.Methods Forty-three cases with femoral shaft fractures were treated by internal fixation with titanium elastic nails,of which 25 cases were male,18 female.The age ranged from 8 to16 years with mean age（12.17±3.86）.26 cases caused by traffic accident,12 cases caused by fall out and 2 cases injured by weight.The fracture site was located on the left side in 19 cases,right side in 22 cases,2 cases were bilateral;transverse fracture 23 cases,short oblique fractures in 15 cases,spiral fracture in 2 cases.The operation time,intraoperative blood loss,hospital stay,time to full weight-bearing and fracture healing time index were observed.Results 43 patients were followed up and the time ranged from 6 to 22 months with the average of 12 months.No infection of incisional wound,secondary displacement of the fracture and internal fixation fracture were found.Patients obtained an averaged operation time of（45.32±16.87） min,an average bleeding of（38.42±15.27） ml,load time of（9.72±8.15） weeks,healing time of fracture of（9.22±7.75） weeks and an averaged removal time of internal fixation of（8.56±6.74） months.Conclusions Treatment of femoral shaft fracture in children with elastic intramedullary nail with the principle of biological fixation,which has little trauma,less complications,and it is a better choice to treat femoral shaft fracture in children.
出处
《齐齐哈尔医学院学报》
2012年第22期3091-3092,共2页
Journal of Qiqihar Medical University
关键词
股骨干骨折
弹性髓内钉
儿童
Femoral shaft fractrure Elastic intramedullary nail Child
