Toussaint D, Vanderlinden C, Bremen J
Département d'Orthopédie-Traumatologie, Hôpital de Braine-l'Alleud, Waterloo, Belgique.
Acta Orthop Belg. 1991;57(2):147-53.
Elastic stable intramedullary nailing is the ideal internal fixation in children; the technique is not aggressive and the physiological periosteal consolidation is respected. This treatment is complementary to the conservative approach. The authors report their experience in 20 patients, aged 4 to 17 years. Primary instability (16 cases) and repeated fractures (3 cases) were the main indications. The operative technique is described. Open reduction was necessary for one or both forearm bones in 9 children. There were technical problems, but without consequences for the consolidation, which was always complete after 2 1/2 months, without cast immobilization. In all patients, the function was normal after 2 months. There were no serious complications. The fixation material should not be removed during the first postoperative year, in order to prevent refractures.
弹性稳定髓内钉固定术是儿童理想的内固定方法；该技术不激进，尊重骨膜的生理性愈合。这种治疗方法是对保守治疗方法的补充。作者报告了他们对20例年龄在4至17岁患者的经验。主要适应证为原发性不稳定（16例）和反复骨折（3例）。描述了手术技术。9名儿童的一根或两根前臂骨需要切开复位。存在技术问题，但对愈合没有影响，2个半月后总是完全愈合，无需石膏固定。所有患者在2个月后功能正常。没有严重并发症。术后第一年不应取出固定材料，以防止再骨折。
