Jarmuzek T, Mendel T, Schenk P, Hofmann G, Ullrich B W
Klinik für Unfall- und Wiederherstellungschirurgie, Funktionsbereich Wirbelsäulen-, Becken- und allgemeine Traumatologie, BG Klinikum Bergmannstrost Halle gGmbH, Merseburger Str. 165, 06112, Halle (Saale), Deutschland.
Stabstelle Forschung, BG Klinikum Bergmannstrost Halle gGmbH, Merseburger Str. 165, 06112, Halle (Saale), Deutschland.
Unfallchirurg. 2017 May;120(5):432-436. doi: 10.1007/s00113-016-0304-z.
We report a difficult healing process after a femoral shaft fracture in childhood. We present surgical correction options of femoral shortening due to pseudarthrosis after elastic stable intramedullary nailing. First, we tried to establish distraction using an external fixator, followed by plate osteosynthesis. After material failure of plate osteosynthesis, we treated the refracture with intramedullary nailing, after which bone healing occurred.
我们报告了一例儿童股骨干骨折后愈合困难的病例。我们介绍了弹性稳定髓内钉固定术后因假关节形成导致股骨缩短的手术矫正方法。首先，我们尝试使用外固定架进行牵引，随后进行钢板接骨术。钢板接骨术材料失败后，我们采用髓内钉固定治疗再骨折，此后骨折愈合。
