Bopst Lea, Reinberg Olivier, Lutz Nicolas
Department of Pediatric Surgery, University Hospital CHUV, Lausanne, Switzerland.
J Pediatr Orthop. 2007 Apr-May;27(3):299-303. doi: 10.1097/BPO.0b013e3180326713.
Spica cast immobilization is the preferred treatment for closed femur fracture in preschool children. Flexible intramedullary nailing (FIN) is an alternative treatment but has never been specifically evaluated in this age group. A retrospective analysis of 72 children (mean age, 4.1 years; age range, 1.5-5.9 years) with 73 femur fractures treated by means of FIN was performed. The mean length of stay in hospital was 9.1 days (range, 1-46); weight bearing was started at a mean of 16.4 days (range, 1-60 days) after surgery. Follow-up was available in 62 children (mean, 36.7 months; range, 4-124 months). Complications included early distal nail exteriorization in 9 children (12.3%) during the first 10 years of the study. More than 1 cm of femur overgrowth was noted in 6 children (8.2%). Preschool children with femur fracture treated by means of FIN benefited from short hospital stay, early mobilization and weight bearing. Technique-related complications could be avoided. Long-term follow-up is mandatory in these children.
髋人字石膏固定是学龄前儿童闭合性股骨骨折的首选治疗方法。弹性髓内钉固定（FIN）是一种替代治疗方法，但从未在该年龄组中进行过专门评估。对72例（平均年龄4.1岁；年龄范围1.5 - 5.9岁）接受FIN治疗的73例股骨骨折患儿进行了回顾性分析。平均住院时间为9.1天（范围1 - 46天）；术后平均16.4天（范围1 - 60天）开始负重。62例患儿获得随访（平均36.7个月；范围4 - 124个月）。并发症包括在研究的前10年中，9例患儿（12.3%）出现早期远端钉外露。6例患儿（8.2%）股骨过度生长超过1厘米。接受FIN治疗的学龄前股骨骨折患儿受益于住院时间短、早期活动和负重。可以避免技术相关并发症。这些患儿必须进行长期随访。
