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儿童股骨骨折的手术治疗。外固定与弹性髓内钉的比较:综述

Surgical treatment of femoral fractures in children. Comparison between external fixation and elastic intramedullary nails: a review.

作者信息

Hedin Hanne

机构信息

Department of Orthopedics, Falun Hospital, SE-791 82 Falun, Sweden.

出版信息

Acta Orthop Scand. 2004 Jun;75(3):231-40. doi: 10.1080/00016470410001132.

DOI:10.1080/00016470410001132
PMID:15260412
Abstract

Femoral fractures represent about 2% of all fractures in childhood. Children with femoral fractures always need to be admitted to hospital and the use of resources is much higher than for other childhood fractures. During the past decade, there has been a trend towards surgical treatment of these fractures, one advantage being the shorter time required in hospital. Two common surgical treatment options are external fixation (EF) and elastic stable intramedullary nails (ESIN). Both methods have their advantages and disadvantages, and neither of them solves all of the problems. Used in a complementary manner, they are safe and reliable for the treatment of femoral fractures in children, and they give good long-term results and few serious complications.

摘要

股骨骨折约占儿童所有骨折的2%。股骨骨折患儿总是需要住院治疗,其资源使用比其他儿童骨折要高得多。在过去十年中,这些骨折的手术治疗呈一种趋势,一个优点是住院所需时间较短。两种常见的手术治疗选择是外固定(EF)和弹性稳定髓内钉(ESIN)。两种方法都有其优缺点,且都不能解决所有问题。以互补的方式使用时,它们对于治疗儿童股骨骨折是安全可靠的,能带来良好的长期效果且严重并发症较少。

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