Houshian Shirzad, Gøthgen Charlotte Buch, Pedersen Niels Wisbech, Harving Søren
Department of Orthopaedics, Odense University Hospital, Denmark.
Acta Orthop Scand. 2004 Jun;75(3):249-51. doi: 10.1080/00016470410001150.
We report our experience with elastic stable intramedullary titanium nailing (ESIN) of femoral shaft fractures in children. From 1998 to 2001, we treated 31 children (20 boys), median age 6 (4-11) years, with ESIN for 29 closed and 2 grade I open femoral shaft fractures. We reviewed 30 children clinically after median 1.5 (1-3) years. Their median hospital stay was 6 (2-20) days. All fractures were radiographically united at a median of 7 (5-9) weeks. The nails were removed in 29 children after a median of 22 (6-38) weeks postoperatively. At follow-up, we found a leg-length discrepancy up to 1 cm in 6 children and 10 degrees of internal rotational deformity in 1 child. No angular deformity had occurred. Elastic stable intramedullary nailing seems to be a safe method for the treatment of femoral shaft fractures in children between 4 and 11 years of age.
我们报告了使用弹性稳定髓内钛钉（ESIN）治疗儿童股骨干骨折的经验。1998年至2001年，我们对31名儿童（20名男孩）进行了ESIN治疗，这些儿童年龄中位数为6岁（4至11岁），其中29例为闭合性股骨干骨折，2例为I级开放性股骨干骨折。在中位数为1.5年（1至3年）后，我们对30名儿童进行了临床复查。他们的住院时间中位数为6天（2至20天）。所有骨折在影像学上均在中位数为7周（5至9周）时愈合。29名儿童在术后中位数为22周（6至38周）后取出了髓内钉。随访时，我们发现6名儿童存在高达1厘米的腿长差异，1名儿童存在10度的内旋畸形。未发生角畸形。弹性稳定髓内钉似乎是治疗4至11岁儿童股骨干骨折的一种安全方法。
