8岁以下儿童股骨干骨折的外固定与弹性稳定髓内钉固定治疗的比较。
Comparison between external fixation and elastic stable intramedullary nailing for the treatment of femoral shaft fractures in children younger than 8 years of age.
作者信息
Andreacchio Antonio, Marengo Lorenza, Canavese Federico, Pedretti Leopoldo, Memeo Antonio
机构信息
aDepartment of Pediatric Orthopedics, Regina Margherita Children's Hospital, Torino bDepartment of Pediatric Orthopedics, Istituto Ortopedico G. Pini, Milan, Italy cDepartment of Pediatric Surgey, University Hospital Estaing, Clermont Ferrand, France.
出版信息
J Pediatr Orthop B. 2016 Sep;25(5):471-7. doi: 10.1097/BPB.0000000000000342.
The main objective of this study was to compare external fixation (EF) with elastic stable intramedullary nailing (ESIN) for the treatment of femoral shaft fractures in children aged 8 or younger. Fifteen children with femoral shaft fractures treated by EF and 23 children with femoral shaft fractures treated by ESIN were retrospectively reviewed. All patients were pain free at the last follow-up, with good ranges of motion in the hip and knee. Partial and full weight bearing occurred sooner in patients treated with EF than with ESIN, although more polytrauma patients were present in the ESIN group. In conclusion, EF and ESIN can be considered as safe and effective methods for femoral shaft fracture treatment in children younger than 8 years of age.
本研究的主要目的是比较外固定（EF）与弹性稳定髓内钉固定（ESIN）治疗8岁及以下儿童股骨干骨折的效果。回顾性分析了15例采用EF治疗的股骨干骨折患儿和23例采用ESIN治疗的股骨干骨折患儿。所有患者在末次随访时均无疼痛，髋关节和膝关节活动范围良好。EF治疗的患者比ESIN治疗的患者更早开始部分负重和完全负重，尽管ESIN组的多发伤患者更多。总之，EF和ESIN可被视为治疗8岁以下儿童股骨干骨折的安全有效方法。
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