Celiker O, Cetin I, Sahlan S, Pestilci F, Altuğ M
Orthopaedic Department, Social Security Hospital, Ankara, Turkey.
J Pediatr Orthop. 1988 Sep-Oct;8(5):580-4.
Sixty-five children between 3.5 and 12 years of age with femoral shaft fractures were treated with fixed traction using supracondylar Kirschner wires incorporated in a one-and-a-half spica cast. Medial angulation up to 15 degrees, lateral angulation up to 5 degrees, and overriding up to 2 cm have been accepted. Posterior and anterior angulations have been rejected. After an average 4-year follow-up, neither joint stiffness nor skeletal deformity developed. At follow-up, maximal shortening was 0.8 cm, and overgrowth was 0.5 cm. Except for complicated cases, the use of this method is justified.
65名3.5至12岁的股骨干骨折儿童采用髁上克氏针固定牵引，并结合髋人字石膏进行治疗。内翻成角可达15度，外翻成角可达5度，重叠可达2厘米可被接受。后成角和前成角不被接受。平均随访4年后，未出现关节僵硬或骨骼畸形。随访时，最大缩短为0.8厘米，过度生长为0.5厘米。除复杂病例外，该方法的使用是合理的。
