Wani Mubashir M, Dar Reyaz A, Latoo Irfan A, Malik Tariq, Sultan Asif, Halwai Manzoor A
Department of Orthopedics, Government Hospital for Bone and Joint Surgery, Srinagar, India.
J Pediatr Orthop B. 2013 Nov;22(6):563-70. doi: 10.1097/BPB.0b013e32836421ce.
Forty-five displaced femur fractures in children were treated with unilateral external fixation as a standard treatment from March 2007 to March 2009 and the last follow-up was completed in May 2012. The average age of the children at presentation was 9.93 years. Patients were followed up till union, at 1 year, and at an average of 3.5 years after fixation. The fixator was removed at an average of 12.23 weeks. Twenty-one (47%) patients had a minor complication of pin-site infection. One patient had a major complication of refracture. Treatment of uncomplicated femur fractures using an external fixator in children yields satisfactory results. Our series had a longer duration of follow-up and fewer refractures compared with other series.
2007年3月至2009年3月，对45例儿童股骨移位骨折采用单侧外固定作为标准治疗方法，并于2012年5月完成最后随访。患儿就诊时的平均年龄为9.93岁。对患者进行随访直至骨折愈合、术后1年以及平均固定后3.5年。平均12.23周后拆除固定器。21例（47%）患者发生针道感染这一轻微并发症。1例患者发生再骨折这一严重并发症。儿童使用外固定器治疗单纯性股骨骨折可取得满意效果。与其他系列研究相比，我们的系列研究随访时间更长，再骨折更少。
