CAJ | 학술논문

背景:股骨干骨折对于儿童来说是较常见的骨折之一,根据年龄,骨折情况的不同可以选择不同的治疗方法.目的:观察运用成人肱骨干重建钢板置入治疗儿童股骨干骨折的效果.方法:选择福建医科大学福总临床医学院骨一科收治的32例单一性股骨干骨折儿童,男20例,女12例;年龄5～8岁,平均6.7岁;均采用切开复位+成人肱骨干重建钢板置入内固定治疗,切口长度依据骨折类型尽量最短.所有病例根据临床及放射学检查结果进行分析.采用目测类比评分法记录患者在置入前及置入后3d的主观疼痛情况.结果与结论:32例患者均获得随访,平均随访时间1.5年.所有骨折于术后一两个月临床愈合,术后4～8个月骨性愈合后取出内固定物.术后出现患肢短缩3例,短缩0.6～1.5 cm,平均短缩1.1 cm.其余病例出现患肢不同程度过度生长,增长0.3～1.2 cm,全组29例平均增长(0.640±0.312)cm.术后3 d患者疼痛明显缓解,疼痛测量值变小.患肢活动范围增加,全部病例疗效满意,无切口感染及骨感染,无钢板折断及再骨折.提示成人肱骨干重建钢板适用于治疗儿童股骨干骨折,其治疗效果满意.
배경:고골간골절대우인동래설시교상견적골절지일,근거년령,골절정황적불동가이선택불동적치료방법.목적:관찰운용성인굉골간중건강판치입치료인동고골간골절적효과.방법:선택복건의과대학복총림상의학원골일과수치적32례단일성고골간골절인동,남20례,녀12례;년령5～8세,평균6.7세;균채용절개복위+성인굉골간중건강판치입내고정치료,절구장도의거골절류형진량최단.소유병례근거림상급방사학검사결과진행분석.채용목측류비평분법기록환자재치입전급치입후3d적주관동통정황.결과여결론:32례환자균획득수방,평균수방시간1.5년.소유골절우술후일량개월림상유합,술후4～8개월골성유합후취출내고정물.술후출현환지단축3례,단축0.6～1.5 cm,평균단축1.1 cm.기여병례출현환지불동정도과도생장,증장0.3～1.2 cm,전조29례평균증장(0.640±0.312)cm.술후3 d환자동통명현완해,동통측량치변소.환지활동범위증가,전부병례료효만의,무절구감염급골감염,무강판절단급재골절.제시성인굉골간중건강판괄용우치료인동고골간골절,기치료효과만의.
BACKGROUND:Femoral shaft fracture is common in children Various methods of treatment can be used successfully,depending On the age of the child and the type of fracture.OBJECTIVE:To evaluate the feasibility of adult reconstruction plate of humeral shaft for pediatric femoral shaft fracture.METHODS:A total of 32 children with femoral shaft fracture were treated with adult reconstruction plate of humeral shaft in First Department of Orthopedics,Fuzhou General Hospital of Fujian Medical University,including 20 males and 12 females aged 6.7years(5-8 years).All patients were treated with incision reduction and adult reconstruction plate of humeral shaft.The incision length should be made as short as possible according to the fracture type The result of surgery was determined using clinical and radiographic examinations The pain condition was evaluated using visual analog scale method before and 3 days following surgery.RESULTS AND CONCLUSION:The patients were followed up for 1-2 years(average 1.5 years).All fractures were healed 1-2months postoperatively,and the internal fixator was removed 4-8 months postoperatively.The affected limb was shortened0.6-1.5 cm(average 1.1 cm)in 3 cases.Overgrowth was obsewed in the other patients by 0.3-1.2 cm The average overgrowth length was(0.64±0.312)cm in 29 patients.At 3 days postoperatiVely,the mean subjective pain was significantly reduced,and range of motion was improved compared with the day before surgery There was no infection or implant displacement or re-fracture.It is feasible to use adult reconstruction plate of humeral shaft for paediatric femoral shaft fracture.