Mohan K
Int Surg. 1975 May;60(5):282-4.
Sixty-five cases of fracture of the femur shaft caused by trauma in children under age 12 were studied. All were treated by various conservative methods. Two patients later underwent open reduction and internal fixation. Children below 5 years of age were treated by Bryant's suspension traction method. Older children were treated by balanced skin traction. In a few cases where the position was not acceptable, the fracture was reduced under general anesthesia and fixed traction was applied. Patients were discharged with a hip spica when the fracture site was nontender (average three weeks). Undisplaced fractures were treated by a primary hip spica. Functional end results were good in 81.5%, fair in 15.4% and poor in 3.1%. Eight compound fractures in this series were treated conservatively.
对12岁以下儿童因外伤导致的65例股骨干骨折病例进行了研究。所有病例均采用了各种保守治疗方法。有2例患者后来接受了切开复位内固定术。5岁以下儿童采用布莱恩特悬吊牵引法治疗。年龄较大的儿童采用平衡皮牵引治疗。在少数骨折位置不理想的病例中，在全身麻醉下进行骨折复位并施加固定牵引。当骨折部位无压痛时（平均三周），患者佩戴髋人字石膏出院。无移位骨折采用一期髋人字石膏治疗。功能最终结果良好的占81.5%，中等的占15.4%，差的占3.1%。本系列中有8例开放性骨折采用了保守治疗。
