D'Andrea Letterio, Catena Nunzio
Traumatology Unit, University of Messina, Messina, Italy.
J Pediatr Orthop. 2008 Jan-Feb;28(1):17-9. doi: 10.1097/bpo.0b013e31815b4dea.
The authors present a case of femural shaft fracture inanewborn infant treated with axial external fixator.
The patient presented at the time of birth with a lumbar myelomeningocele and right femural shaft fracture. The common methods of treatment cannot be used, so 24 hours after birth before neurosurgery, we applied a Mini Penning Orthofix External Fixator for fracture stabilization.
The external fixator was maintained for 30 days and removed after taking a radiograph that showed fracture healing. At the last follow-up (2 years), the patient did not present axial or torsional defects of right lower limb.
External fixation is not a traditional method for treatment of femural shaft fractures in patients younger than 6 years, but we think that in some cases, when traditional methods (splinting, cast, Pavlik harness) cannot be used, an external fixator is also a good option in patients younger than 2 years and in newborn infants.
作者介绍了一例采用轴向外固定器治疗的新生儿股骨干骨折病例。
该患者出生时伴有腰骶部脊髓脊膜膨出和右股骨干骨折。由于无法采用常规治疗方法，因此在出生后24小时，即在神经外科手术前，我们应用了Mini Penning Orthofix外固定器来稳定骨折。
外固定器维持了30天，在拍摄显示骨折愈合的X线片后拆除。在最后一次随访（2年时），患者未出现右下肢的轴向或扭转畸形。
外固定并非6岁以下患者股骨干骨折的传统治疗方法，但我们认为在某些情况下，当无法采用传统方法（夹板固定、石膏固定、帕夫利克吊带）时，外固定器对于2岁以下患者和新生儿也是一种不错的选择。
