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弹性稳定髓内钉治疗小儿长骨骨折的并发症

Complications of Elastic Stable Intramedullary Nailing for treating paediatric long bone fractures.

作者信息

Nisar Aamer, Bhosale Abhijit, Madan Sanjeev S, Flowers Mark J, Fernandes James A, Jones Stanley

机构信息

Specialist Registrar, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom.

Consultant Orthopaedic Surgeon, Sheffield Children's Hospital, Western Bank, Sheffield, United Kingdom.

出版信息

J Orthop. 2013 Feb 26;10(1):17-24. doi: 10.1016/j.jor.2013.01.003. eCollection 2013.

Abstract

This study reports the complications observed in children with long bone fractures treated using Elastic Stable Intramedullary Nailing (ESIN). One hundred and sixty-four (n = 164) fractures in 160 patients under the age of 16 years formed the basis of our review. This included 108 boys and 52 girls with the median age of 11 years and median follow up of 7.5 months. The analysis included fractures of the radius/ulna, humerus, femur and tibia. All pathological fractures were excluded. In this series 54 patients (34%) had complications however majority of these were minor complications with irritation due to prominent nail ends being the commonest complication. No long-term sequelae were encountered in our patients.

摘要

本研究报告了采用弹性稳定髓内钉固定术(ESIN)治疗的长骨骨折患儿所观察到的并发症。160例16岁以下患者的164处骨折构成了我们回顾性研究的基础。其中包括108名男孩和52名女孩,中位年龄为11岁,中位随访时间为7.5个月。分析包括桡骨/尺骨、肱骨、股骨和胫骨骨折。所有病理性骨折均被排除。在该系列中,54例患者(34%)出现并发症,然而其中大多数为轻微并发症,最常见的并发症是髓内钉尾端突出引起的刺激。我们的患者未出现长期后遗症。

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