医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
27期
11-12
,共2页
股骨骨折%儿童%弹性髓内钉
股骨骨摺%兒童%彈性髓內釘
고골골절%인동%탄성수내정
femoral fractures%children%elastic stable intramedulary nailing
目的：探讨弹性髓内钉（ESIN）治疗儿童股骨干骨折的疗效。方法：2010年8月～2014年8月共收治儿童股骨干骨折26例，不稳定性骨折患儿术后行髋人字石膏固定4周，去除石膏后进行功能锻炼。结果：26例患者术后经平均11个月（8～20个月）随访。骨折愈合时间平均为l1周（8～12周），无再骨折、骨不连的发生，髋、膝关节活动正常。出现钉尾激惹反应2例、肢体短缩2例。结论：弹性髓内钉治疗儿童股骨干骨折，具有微创、避免骨折端2次损伤的优点，疗效好，并发症少，可作为治疗移位明显的儿童股骨干骨折的首选方法。
目的：探討彈性髓內釘（ESIN）治療兒童股骨榦骨摺的療效。方法：2010年8月～2014年8月共收治兒童股骨榦骨摺26例，不穩定性骨摺患兒術後行髖人字石膏固定4週，去除石膏後進行功能鍛煉。結果：26例患者術後經平均11箇月（8～20箇月）隨訪。骨摺愈閤時間平均為l1週（8～12週），無再骨摺、骨不連的髮生，髖、膝關節活動正常。齣現釘尾激惹反應2例、肢體短縮2例。結論：彈性髓內釘治療兒童股骨榦骨摺，具有微創、避免骨摺耑2次損傷的優點，療效好，併髮癥少，可作為治療移位明顯的兒童股骨榦骨摺的首選方法。
목적：탐토탄성수내정（ESIN）치료인동고골간골절적료효。방법：2010년8월～2014년8월공수치인동고골간골절26례，불은정성골절환인술후행관인자석고고정4주，거제석고후진행공능단련。결과：26례환자술후경평균11개월（8～20개월）수방。골절유합시간평균위l1주（8～12주），무재골절、골불련적발생，관、슬관절활동정상。출현정미격야반응2례、지체단축2례。결론：탄성수내정치료인동고골간골절，구유미창、피면골절단2차손상적우점，료효호，병발증소，가작위치료이위명현적인동고골간골절적수선방법。
Objective:To investigate the technique of elastic stable intramedulary nailing(ESIN) on treatment femoral fractures in children and assess the clinical outcome. Methods:26 patients with displaced femoral shaft fractures were treated by ESIN from August 2010 to December 2014. Results:Al patients were folowed up for average 11 months (8~24 months). The average time of bone healing was 11 weeks (8~12 weeks). Al had ful range of motion in the near joints and got excelent results without refracture,delayed union or non-union,and rotational deformity. Two cases had irritation at nail insertion site. Two cases had 1.0~1.5 cm shortening deformity of the femur. Conclusion:The method of ESIN deserves to be a simply and minimaly invasive way for the treatment of the femoral fractures in children.
