Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls...Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group.展开更多
目的:比较微创弹性髓内钉内固定与传统切开复位解剖型锁定钢板内固定治疗成人锁骨中段骨折的临床疗效。方法:回顾性分析2019年12月至2021年12月手术治疗70例锁骨中段骨折患者资料。其中35例采用微创弹性髓内钉内固定(髓内钉组),男24例,...目的:比较微创弹性髓内钉内固定与传统切开复位解剖型锁定钢板内固定治疗成人锁骨中段骨折的临床疗效。方法:回顾性分析2019年12月至2021年12月手术治疗70例锁骨中段骨折患者资料。其中35例采用微创弹性髓内钉内固定(髓内钉组),男24例,女11例;年龄为19~68岁,平均为47.14岁;左侧21例,右侧14例;根据AO/OTA分型,2A型8例,2B型27例。另外35例采用解剖型锁定钢板固定(钢板组),男23例,女12例;年龄为21~67岁,平均为43.91岁;左侧19例,右侧16例;根据AO/OTA分型,2A型7例,2B型28例。比较两组患者的手术切口总长度、术中出血量、手术时间、骨折愈合时间、Constant-Murley肩关节评分、臂肩手功能障碍(Disabilities of the Arm,Shoulder,and Hand,DASH)评分以及并发症等。结果:髓内钉组手术切口总长度、术中出血量、手术时间、骨折愈合时间均显著低于传统钢板组,差异有统计学意义(P<0.05);术后6个月Constant-Murley肩关节评分和DASH评分,两组差异均无统计学意义(P>0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:微创弹性髓内钉内固定治疗锁骨中段骨折可获得与传统锁定钢板螺钉内固定相当的手术疗效;髓内钉组具有微创、手术时间短、骨折愈合快、体表美观、费用经济等优势,值得临床推广应用。展开更多
文摘Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group.
文摘目的:比较微创弹性髓内钉内固定与传统切开复位解剖型锁定钢板内固定治疗成人锁骨中段骨折的临床疗效。方法:回顾性分析2019年12月至2021年12月手术治疗70例锁骨中段骨折患者资料。其中35例采用微创弹性髓内钉内固定(髓内钉组),男24例,女11例;年龄为19~68岁,平均为47.14岁;左侧21例,右侧14例;根据AO/OTA分型,2A型8例,2B型27例。另外35例采用解剖型锁定钢板固定(钢板组),男23例,女12例;年龄为21~67岁,平均为43.91岁;左侧19例,右侧16例;根据AO/OTA分型,2A型7例,2B型28例。比较两组患者的手术切口总长度、术中出血量、手术时间、骨折愈合时间、Constant-Murley肩关节评分、臂肩手功能障碍(Disabilities of the Arm,Shoulder,and Hand,DASH)评分以及并发症等。结果:髓内钉组手术切口总长度、术中出血量、手术时间、骨折愈合时间均显著低于传统钢板组,差异有统计学意义(P<0.05);术后6个月Constant-Murley肩关节评分和DASH评分,两组差异均无统计学意义(P>0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:微创弹性髓内钉内固定治疗锁骨中段骨折可获得与传统锁定钢板螺钉内固定相当的手术疗效;髓内钉组具有微创、手术时间短、骨折愈合快、体表美观、费用经济等优势,值得临床推广应用。
