Mortier Dieter, De Ridder Koen
Department of Orthopaedic Surgery, Sint Augustinus and Sint Jozef Hospitals, Wilrijk/Malle, Belgium.
Acta Orthop Belg. 2008 Apr;74(2):190-4.
Femur fractures in preschool children are mostly treated in a conservative way, by means of spica cast immobilisation or skin traction. In school age children the use of flexible intramedullary nails (FIN) is widely used and promoted. We performed intramedullary nailing in 9 preschool children aged 1.5-6 years. The mean length of postoperative hospital stay was 4 days (range: 3 to 6). The mean time to solid callus formation was 2.5 months (range: 2 to 3). Follow-up was available in all 9 children for a mean period of 18.9 months (range: 3 to 38). No complications were noted. Flexible intramedullary nailing of femur fractures is a valuable technique in this particular age group. However, further study and long-term follow-up are needed.
学龄前儿童的股骨骨折大多采用保守治疗，通过髋人字石膏固定或皮肤牵引。在学龄儿童中，弹性髓内钉（FIN）的使用得到广泛推广。我们对9名年龄在1.5至6岁的学龄前儿童进行了髓内钉固定术。术后平均住院时间为4天（范围：3至6天）。骨痂牢固形成的平均时间为2.5个月（范围：2至3个月）。9名儿童均获得随访，平均随访期为18.9个月（范围：3至38个月）。未发现并发症。股骨骨折的弹性髓内钉固定术在这个特定年龄组中是一项有价值的技术。然而，还需要进一步的研究和长期随访。
