摘要
作者从1970～1985年收治生长期儿童股骨干骨折305例,其中切开复位髓内针内固定34例(38处股骨骨折),并进行了5～17年的长期随访观察,发现无1例出现术后早期并发症,12例(占33.3％)出现大粗隆发育受阻的晚期并发症。18例(22处股骨骨折)双下肢等长,13例患肢较健侧长0.8～1.4cm平均1.03cm,1例合并有下肢动脉损伤者出现下肢短缩。作者认为无论采用梅花型髓内针内固定,还是三棱型髓内针内固定都是可行的,但梅花型髓内针内固定有出现大粗隆发育受阻的危险。
The late results of 34 cases of femoral fracture treated by intramedullary nailing in the growing child were reviewed between 1970~1985 and followed up 5~ 17 years. All were treated by open reduction and retrograde nailing using club shape nailing or 'tri-edge' type nailing. There were no early postoperative complication of nailing. The only late complication was growth disturbance of the greater trochanter in twelve cases(33. 3%). Leg length was equal in eighteen children (twenty -two fractures)and differed by0. 8-1.4cm (average 1. 03cm) in thirteen due to stimulation of femoral growth. Both club shape nailing and 'tri -flange' type nailing were found to be reliable but the former may carry a risk of growth arrest of the greater trochanter. The later one seemed less damage than the former.
出处
《骨与关节损伤杂志》
1992年第4期210-211,共2页
The Journal of Bone and Joint Injury
关键词
儿童
股骨干骨折
骨折固定
Femoral fracture of child Epiphysis Intramedullary nailing
