Havránek P, Westfelt J N, Henrikson B
Department of Pediatric Surgery, Gothenburg University, East Hospital, Sweden.
Clin Orthop Relat Res. 1992 Oct(283):270-5.
A proximal tibial skeletal traction in the treatment of femoral shaft fractures in the growing child has been reported to result in complications such as knee pain, knee joint subluxation, and growth disturbance. For the last 15 years, the authors used a single screw (instead of the Kirschner wire) inserted in the tibia perpendicular to the surface and well below the tibial tubercle physis. With the traction applied to this screw and the leg in a 90-90 position or resting on a Braun splint, none of the previously described complications were observed. This modification of the proximal tibial skeletal traction is a simple, quick, and safe method in the treatment of femoral shaft fractures in children.
据报道，在生长发育期儿童股骨干骨折的治疗中，胫骨近端骨骼牵引会导致诸如膝关节疼痛、膝关节半脱位和生长障碍等并发症。在过去15年中，作者采用了一根垂直于胫骨表面并插入胫骨结节骨骺下方的单枚螺钉（而非克氏针）。通过对该螺钉施加牵引并将腿部置于90-90位或置于布朗氏夹板上，未观察到上述任何并发症。这种对胫骨近端骨骼牵引的改良是治疗儿童股骨干骨折的一种简单、快速且安全的方法。
