Department of Orthopaedics, Children's Hospital, Boston, MA, USA.
J Am Acad Orthop Surg. 2009 Nov;17(11):718-25. doi: 10.5435/00124635-200911000-00006.
Methods of treating pediatric diaphyseal femur fractures are dictated by patient age, fracture characteristics, and family social situation. The recent trend has been away from nonsurgical treatment and toward surgical stabilization. The clinical practice guideline on pediatric diaphyseal femur fractures was undertaken to determine the best evidence regarding a number of different options for surgical stabilization. The recommendations address treatments that include Pavlik harness, spica casts, flexible intramedullary nailing, rigid trochanteric entry nailing, submuscular plating, and pain management. The guideline authors conclude that controversy and lack of conclusive evidence remain regarding the different treatment options for pediatric femur fractures and that the quality of scientific evidence could be improved for the revised guideline.
治疗小儿股骨干骨折的方法取决于患者年龄、骨折特点和家庭社会状况。最近的趋势是从非手术治疗转向手术固定。制定小儿股骨干骨折临床实践指南是为了确定关于手术固定的许多不同选择的最佳证据。这些建议涉及到包括帕夫利克吊带、斯皮卡石膏、弹性髓内钉、刚性转子入口钉、骨下钢板和疼痛管理在内的治疗方法。指南作者得出结论，对于小儿股骨干骨折的不同治疗方法仍存在争议和缺乏确凿证据，并且修订后的指南的科学证据质量可以得到提高。
