Aksoy Mehmet Cemalettin, Caglar Omur, Ayvaz Mehmet, Yazici Muharrem, Alpaslan Ahmet Mumtaz
Department of Orthopaedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
J Pediatr Orthop B. 2008 Jan;17(1):7-10. doi: 10.1097/BPB.0b013e3282f103c4.
Nonunion and major complications are not very common in pediatric fractures. No commonly accepted methods exist for the treatment of these fractures. In this study, treatment of complicated pediatric femoral fractures with titanium elastic nails was evaluated. Five girls and four boys with nine femoral fractures constituted the group. The mean age of the patients was 8.7 (5-11) years and the mean follow-up was 46.6 (24-84) months. Five of them had implant failure and nonunion, two of them had loss of position in the external fixator, one of them had incomplete union and loss of position in the external fixator and the other had femoral fracture in the lengthening segment of the femur and had loss of position and incomplete union in the spica cast. All the patients were treated with a closed or open reduction of the fracture, debridement if treated with open method and fixation of the fracture with titanium elastic nails. Complete union was achieved in all the patients within the 6-9 months. No neurovascular injury or infection was reported in the group. The result of the treatment showed that fixation of complicated pediatric femoral fractures with intramedullary titanium elastic nails is a good option.
骨折不愈合和严重并发症在儿童骨折中并不常见。目前尚无公认的治疗这些骨折的方法。在本研究中，对采用钛弹性髓内钉治疗复杂儿童股骨骨折进行了评估。该组包括5名女孩和4名男孩，共9例股骨骨折。患者的平均年龄为8.7（5 - 11）岁，平均随访时间为46.6（24 - 84）个月。其中5例出现内植物失败和骨折不愈合，2例出现外固定器位置丢失，1例出现骨折未完全愈合和外固定器位置丢失，另1例在股骨延长段发生股骨骨折，在髋人字石膏固定中出现位置丢失和骨折未完全愈合。所有患者均接受了骨折的闭合或切开复位，若采用切开方法则进行清创，并使用钛弹性髓内钉固定骨折。所有患者均在6 - 9个月内实现了骨折完全愈合。该组未报告神经血管损伤或感染情况。治疗结果表明，采用髓内钛弹性髓内钉固定复杂儿童股骨骨折是一种不错的选择。
