Aktuğlu Kemal, Ozkayin Nadir
Ege Univerisesi Tip Fakultesi Ortopedi ve Travmatoloji Anabilim Dali, Izmir, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Jul;9(3):203-8.
In our retrospective study, we evaluated pediatric femoral shaft fractures sustained by children of five to fifteen years of age, all of whom were treated with elastic intramedullary nailing.
Between 1990 and 2000, 32 femoral fractures of 30 children, 14 (47%) polytraumatized, with an average age of 9.9 (6-14), were treated with elastic intramedullary nailing.
Average follow-up was 105.3 (25-145) months. Three cases (9.3%) were re-operated due to developed angulations related to weight bearing in the early postoperative period. In three (9,3%) of our cases we diagnosed more than five degrees valgus deformity, in one (3.1%) anterior angulation and in 1 (3.1%) internal rotation. The average of absolute value of length discrepancies was determined as 9 mm (-15mm - +15mm).
Elastic intramedullary fixation is a recommended method, especially for polytraumatized patients, because of facilitates of patient care, recovers social activity quickly, and causes minimal soft tissue damage. However angular or rotational deformations are also possible. Selection criteria and follow up period is important and treatment of the complications must be on time.
在我们的回顾性研究中，我们评估了5至15岁儿童的股骨干骨折情况，所有患儿均接受弹性髓内钉治疗。
1990年至2000年间，30名儿童的32例股骨干骨折，其中14例（47%）为多发伤，平均年龄9.9岁（6至14岁），接受了弹性髓内钉治疗。
平均随访时间为105.3个月（25至145个月）。3例（9.3%）因术后早期负重导致成角而再次手术。在我们的病例中，3例（9.3%）诊断为外翻畸形超过5度，1例（3.1%）为前成角，1例（3.1%）为内旋。长度差异绝对值的平均值确定为9毫米（-15毫米至+15毫米）。
弹性髓内固定是一种推荐的方法，特别是对于多发伤患者，因为它便于患者护理，能迅速恢复社交活动，且对软组织损伤最小。然而，也可能出现角形或旋转畸形。选择标准和随访期很重要，并发症的治疗必须及时。
