Poolman Rudolf W, Kocher Mininder S, Bhandari Mohit
Department of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
J Orthop Trauma. 2006 Oct;20(9):648-54. doi: 10.1097/01.bot.0000247073.79430.87.
The incidence of femoral fractures in children comprise 20 per 100,000 yearly in the United States and Europe. The treatment of femoral shaft fractures in the pediatric population remains controversial. The child's age often directs the management. Nonoperative treatment options include functional treatment for the very young, Pavlic harness, skin or skeletal traction, and spica casting. Operative treatment options include closed reduction and external fixation, open reduction and internal plate fixation, closed reduction and minimally invasive plate osteosynthesis (MIPO), and closed reduction and intramedullary nailing with either flexible or rigid nails. The effect of operative versus nonoperative treatment has been the focus of several comparative studies.
To determine the effect of different treatment options on the rate of union, malunion, leg-length discrepancy (LLD), complications, and outcome after femoral shaft fractures in children.
在美国和欧洲，儿童股骨骨折的发病率为每年每10万人中有20例。儿童股骨干骨折的治疗仍存在争议。患儿的年龄常常决定治疗方式。非手术治疗选择包括针对非常年幼患儿的功能治疗、帕夫利克吊带、皮肤或骨骼牵引以及髋人字石膏固定。手术治疗选择包括闭合复位外固定、切开复位内钢板固定、闭合复位微创钢板接骨术（MIPO）以及闭合复位并使用弹性或刚性髓内钉进行髓内钉固定。手术治疗与非手术治疗的效果一直是多项比较研究的重点。
确定不同治疗方式对儿童股骨干骨折的愈合率、畸形愈合、腿长差异（LLD）、并发症及预后的影响。
