中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
2012年
6期
417-420
,共4页
方文来%陈峰%郭晓山%冯永增%孙辽军
方文來%陳峰%郭曉山%馮永增%孫遼軍
방문래%진봉%곽효산%풍영증%손료군
转子下骨折%内固定器%骨折固定术,内%儿童
轉子下骨摺%內固定器%骨摺固定術,內%兒童
전자하골절%내고정기%골절고정술,내%인동
Subtrochanteric fractures%Internal fixators%Fracture fixation,internal%Child
目的 比较PHILOS与TEN治疗大龄儿童转子下骨折的临床疗效.方法 2006年8月至2009年8月收治42例大龄儿童转子下骨折,分别采用PHILOS锁定固定17例年龄8~15岁的股骨转子下骨折患儿,并将其与同期进行、一般资料具有可比性,采用弹性钉固定治疗的25例患儿进行比较,对两组的住院期间各项指标、患儿骨折愈合时间、Beaty评分、Theologis评分及髋关节功能等进行对比分析.结果 PHIlOS组平均随访时间37.5个月,TEN组平均随访44.8个月,两组骨折愈合时间、Beaty评分、Theologis评分及髋关节功能差异无统计学意义,但手术时间及出血量差异等住院期间各项指标差别有统计学意义.结论 PHILOS与TEN的总体临床疗效相当,均可作为目前治疗儿童转子下骨折较好的内固定方式.骨科医生应根据患儿骨折类型特点、患儿及父母的选择、术者的手术操作的熟练度等综合考虑选择相应的固定方式.
目的 比較PHILOS與TEN治療大齡兒童轉子下骨摺的臨床療效.方法 2006年8月至2009年8月收治42例大齡兒童轉子下骨摺,分彆採用PHILOS鎖定固定17例年齡8~15歲的股骨轉子下骨摺患兒,併將其與同期進行、一般資料具有可比性,採用彈性釘固定治療的25例患兒進行比較,對兩組的住院期間各項指標、患兒骨摺愈閤時間、Beaty評分、Theologis評分及髖關節功能等進行對比分析.結果 PHIlOS組平均隨訪時間37.5箇月,TEN組平均隨訪44.8箇月,兩組骨摺愈閤時間、Beaty評分、Theologis評分及髖關節功能差異無統計學意義,但手術時間及齣血量差異等住院期間各項指標差彆有統計學意義.結論 PHILOS與TEN的總體臨床療效相噹,均可作為目前治療兒童轉子下骨摺較好的內固定方式.骨科醫生應根據患兒骨摺類型特點、患兒及父母的選擇、術者的手術操作的熟練度等綜閤攷慮選擇相應的固定方式.
목적 비교PHILOS여TEN치료대령인동전자하골절적림상료효.방법 2006년8월지2009년8월수치42례대령인동전자하골절,분별채용PHILOS쇄정고정17례년령8~15세적고골전자하골절환인,병장기여동기진행、일반자료구유가비성,채용탄성정고정치료적25례환인진행비교,대량조적주원기간각항지표、환인골절유합시간、Beaty평분、Theologis평분급관관절공능등진행대비분석.결과 PHIlOS조평균수방시간37.5개월,TEN조평균수방44.8개월,량조골절유합시간、Beaty평분、Theologis평분급관관절공능차이무통계학의의,단수술시간급출혈량차이등주원기간각항지표차별유통계학의의.결론 PHILOS여TEN적총체림상료효상당,균가작위목전치료인동전자하골절교호적내고정방식.골과의생응근거환인골절류형특점、환인급부모적선택、술자적수술조작적숙련도등종합고필선택상응적고정방식.
Objective To investigate the radiographic and functional outcomes of PHILOS and TEN in treatment of subtrochanteric femur fractures in children.Methods Between Aug 2004 and Aug 2009,42 children aging 8 to 15 years associated with subtrochanteric femur fractures underwent therapy.Among them 17 cases were treated using PHILOS and 25 cases were tremed with TEN approach respectively.Results All patients were followed up for 24 to 72 months,in which PHILOS approach follow up was averagely 37.5 months and TEN was 44.8 months.The fracture healing time、early radiological outcomes ( evaluated by Beaty criterion),late radiological outcomes ( evaluated by Theologis criterion) and Sanders scoring were presented similar results between two groups (P>0.05),while significant difference could be seen in operation time and blood loss (P<0.05 ).Conclusions Both PHILOS and TEN approaches can bring better clinical efficacy to children with femoral subtrochanteric fractures and no differences are found in them.The exact approach that is employed in practice should be referred to the fracture type,expectation of children and their parents,as well as the proficiency by surgeon.