Array.
Trauma,Arthroscopy,Tumor and İnfection..
Acta Biomed. 2020 May 11;91(2):326-331. doi: 10.23750/abm.v91i2.8709.
To show midterm results and compare the two methods utilized in pediatric femoral diaphysis fractures fixation and the risks of radiation.
We conducted retrospective studies of 60 children and adolescent between the age of 6 to 16 years who were exposed to traumatic femoral shaft fractures and treated with methods of fixation titanyum elastic nail (EN), submuscular bridge plating (SBP) Twenty eight (18 males and 10 females) were treated with SBP (group 1), and 32 patients (18 males and 14 females) were treated with EN (group 2).
The mean age of the patients was 10,3 years. Duration of follow-up was 29.8 months. Mean union time was 7,4 weeks (range, 6-10 weeks). Operative time was on average 60.6 minutes. Considering Flynn's criteria, the results of treatment was excellent in 50, good in 4 and poor in 6 cases.
In the surgical treatment of pediatric femoral shaft fractures, fixation techniques such as submuscular bridge platingand elastic nails were found to have similar fracture healing and complication rates. An orthopaedic surgeon must protect himself, his personnel and the patient from radiation exposure. Open reduction internal plate fixation can be chosen as an alternative treatment for children who do not cause radiation exposure to the femoral fracture.
展示中期结果并比较两种用于儿童股骨干骨折固定的方法以及辐射风险。
我们对 60 名 6 至 16 岁的儿童和青少年进行了回顾性研究，这些儿童和青少年患有创伤性股骨干骨折，并采用钛弹性钉（EN）固定、肌下桥接钢板（SBP）固定两种方法进行治疗。28 名（18 名男性和 10 名女性）患者接受 SBP（组 1）治疗，32 名患者（18 名男性和 14 名女性）接受 EN（组 2）治疗。
患者的平均年龄为 10.3 岁。随访时间为 29.8 个月。平均愈合时间为 7.4 周（范围为 6-10 周）。手术时间平均为 60.6 分钟。根据 Flynn 的标准，治疗结果为优 50 例，良 4 例，差 6 例。
在儿童股骨干骨折的手术治疗中，肌下桥接钢板固定和弹性钉固定等固定技术的骨折愈合和并发症发生率相似。骨科医生必须保护自己、他的人员和患者免受辐射。对于不导致股骨骨折辐射暴露的儿童，可以选择切开复位内固定作为替代治疗方法。
