Wang Wenxia, Zheng Xiaoyong, Sun Zuoyong
Wenxia Wang Department of Pediatric Surgery, Binzhou People's Hospital, Shandong, 256600, China.
Xiaoyong Zheng Department of Cardiothoracic Surgery, Binzhou People's Hospital, Shandong, 256600, China.
Pak J Med Sci. 2019 Sep-Oct;35(5):1417-1421. doi: 10.12669/pjms.35.5.513.
To compare and analyze the clinical effects of internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture.
A total of 120 children with femoral shaft fractures who were admitted to our hospital from December 2016 to April 2018 were enrolled. The children were divided into an observation group and a control group by random number table, with 60 children in each group. The children in the observation group underwent internal fixation of minimally invasive elastic stable intramedullary nail, while those in the control group underwent open reduction based on internal fixation of plate. The surgical status and postoperative complications of the two groups were observed and compared, and Kolmert knee function scoring criteria were used for assessing the surgical effects of children.
The operation duration, intraoperative blood loss, hospitalization duration, fracture healing time and time of off-bed loaded activity of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P<0.05). The excellent and good rate of fracture healing in the observation group was 100%, which was higher than that of the control group, 83.33%, and the difference was statistically significant (P<0.05). The total incidence rate of complications in the observation group was 8.33%, which was lower than that of the control group, 10.00%, but the difference was not statistically significant (P>0.05).
Pediatric femoral shaft fractures can be treated with internal fixation of minimally invasive elastic intramedullary nail, and it has advantages of significant curative effect, small trauma and fast postoperative recovery, which is conducive to fracture healing and worth promoting.
比较分析微创弹性稳定髓内钉与钢板内固定治疗小儿股骨干骨折的临床效果。
选取2016年12月至2018年4月我院收治的120例股骨干骨折患儿，采用随机数字表法分为观察组和对照组，每组60例。观察组采用微创弹性稳定髓内钉内固定，对照组采用钢板内固定并切开复位。观察比较两组手术情况及术后并发症，并采用Kolmert膝关节功能评分标准评估患儿手术效果。
观察组手术时间、术中出血量、住院时间、骨折愈合时间及下床负重活动时间均明显短于对照组，差异有统计学意义（P<0.05）。观察组骨折愈合优良率为100%，高于对照组的83.33%，差异有统计学意义（P<0.05）。观察组并发症总发生率为8.33%，低于对照组的10.00%，但差异无统计学意义（P>0.05）。
微创弹性髓内钉内固定可用于治疗小儿股骨干骨折，具有疗效显著、创伤小、术后恢复快等优点，有利于骨折愈合，值得推广。
