Sahu Rl
Department of Orthopedics, SMS and RI, Sharda University, Greater Noida, Uttar Pradesh, India.
Ann Med Health Sci Res. 2013 Apr;3(2):197-201. doi: 10.4103/2141-9248.113661.
Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries.
The aim of this study was to evaluate the efficacy of intramedullary Kirschner wires for the treatment of femoral shaft fracture in children.
This prospective study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from June 2005 to June 2010. Sixty eight children with a mean age of 7.7 years (range, 2-14 years) were recruited from Emergency and out patient department having closed fracture of femoral shaft. All patients were operated under general anesthesia. All patients were followed for twelve months.
Out of sixty eight patients, sixty four patients underwent union in 42 to 70 days with a mean of 56 days. Touch down weight bearing was started on 2(nd) post-operative day. Complications found in four patients who had insignificant delayed union which were united next three weeks. Intramedullary Kirschner-wires were removed after an average of five months without any complications. The results were excellent in 94.1% (64/68) and good in 5.8% (4/68).
This technique is simple, quick to perform, safe and reliable and avoids prolonged hospitalization with good results and is economical.
股骨干骨折是下肢损伤患者发病和死亡的主要原因。
本研究的目的是评估髓内克氏针治疗儿童股骨干骨折的疗效。
本前瞻性研究于2005年6月至2010年6月在MM医学院骨科进行。从急诊科和门诊招募了68名平均年龄7.7岁（范围2 - 14岁）的股骨干闭合性骨折儿童。所有患者均在全身麻醉下手术。所有患者随访12个月。
68例患者中，64例在42至70天内愈合，平均56天。术后第2天开始负重触地。4例患者出现轻度延迟愈合，在接下来的三周内愈合。髓内克氏针平均在5个月后取出，无任何并发症。结果优94.1%（64/68），良5.8%（4/68）。
该技术操作简单、快速、安全可靠，避免了长期住院，效果良好且经济。
