Kong Heather, Sabharwal Sanjeev
Department of Orthopaedic Surgery, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA.
J Pediatr Orthop B. 2016 Jan;25(1):11-6. doi: 10.1097/BPB.0000000000000237.
Children with underlying metabolic bone diseases, such as osteogenesis imperfecta and spastic cerebral palsy, pose a challenge in the treatment of femoral shaft fractures. We performed flexible intramedullary nailing with supplemental monolateral external fixation in a subgroup of such patients. The external fixator assists in controlling angulation and rotation at the fracture site, and avoids the need for supplemental casting with its associated problems such as skin breakdown and difficulty with personal hygiene. We describe the surgical technique, pitfalls, and outcomes in a series of four patients with underlying osteopenia treated with external fixator-augmented flexible nailing for femoral shaft fractures.
患有潜在代谢性骨病的儿童，如成骨不全和痉挛性脑瘫，在股骨干骨折的治疗中面临挑战。我们对这类患者的一个亚组进行了弹性髓内钉固定并辅以单侧外固定。外固定器有助于控制骨折部位的成角和旋转，避免了补充石膏固定及其相关问题，如皮肤破损和个人卫生困难。我们描述了一系列四名患有潜在骨质减少的患者接受外固定增强弹性髓内钉治疗股骨干骨折的手术技术、陷阱和结果。
