Liao Wei, Cai Pan, Zhao Ding-yun, Wu Shao-kun, Yan Sun-fang, Yang Lei
Department of Orthopaedics, the 2nd Affiliated Hospital of Medical College of Wenzhou, Wenzhou 325027, Zhejiang, China.
Zhongguo Gu Shang. 2010 Aug;23(8):621-3.
To explore the curative effects and complications of elastic intramedullary nail in treating children's bilateral femoral shaft fractures.
Form February 2005 to March 2008, 7 patients with bilateral femoral shaft fractures were treated by closed reduction and internal fixation with elastic intramedullary nail. There were 5 males and 2 females. The age ranged from 3 to 13 years with the mean of 8.3 years. Six injuries caused by road accident and 1 injury caused by fall from high. Two cases associated with pulmonary contusion, 3 cases brain injuries, 1 case fracture of calcaneus and 1 case bladder injuries. All the cases were closed fractures without nerve and blood vessel injury. A cast external fixation had been used after operation for a month in two cases.
All the patients were followed up for 21-37 months with an average of 30.3 months. No infecton of incisional wound, displacement fracture, internal fixation fail, delayedunion and malunion were found. All fracture obtained healing for 7-12 weeks with an average of 8.7 weeks. Inequality of lower limb was found in 1 case (length differences was 5 mm). According to Flynn scoring,all fractures were excellent.
Treatment of femoral shaft fractures in children with elastic intramedullary nail according with biological principle. The method has little trauma, less complication, outstanding effect and it is a good way to treat bilateral femoral shaft fractures result from high-energy injuries.
探讨弹性髓内钉治疗儿童双侧股骨干骨折的疗效及并发症。
2005年2月至2008年3月，对7例双侧股骨干骨折患儿采用闭合复位弹性髓内钉内固定治疗。其中男5例，女2例。年龄3～13岁，平均8.3岁。车祸伤6例，高处坠落伤1例。合并肺挫伤2例，脑损伤3例，跟骨骨折1例，膀胱损伤1例。均为闭合性骨折，无神经血管损伤。术后2例采用石膏外固定1个月。
所有患儿均获随访，随访时间21～37个月，平均30.3个月。未发现切口感染、骨折移位、内固定失败、延迟愈合及畸形愈合。所有骨折均在7～12周愈合，平均8.7周。1例出现下肢不等长（长度差5 mm）。按Flynn评分，均为优。
弹性髓内钉治疗儿童股骨干骨折符合生物学固定原则，具有创伤小、并发症少、疗效显著等优点，是治疗儿童双侧股骨干高能量损伤骨折的较好方法。
