• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

[儿童（<6 - 8岁）股骨转子间骨折的弹性稳定髓内钉固定术]

[Elastic, stable intramedullary nailing of pertrochanteric femoral fractures in children (<6-8 years)].

作者信息

Kaiser N, Slongo T

机构信息

Universitätsklinik für Kinderchirurgie, Inselspital Bern, Freiburgstr., 3010, Bern, Schweiz.

出版信息

Oper Orthop Traumatol. 2021 Feb;33(1):46-54. doi: 10.1007/s00064-020-00696-2. Epub 2021 Jan 26.

DOI:10.1007/s00064-020-00696-2
PMID:33501513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7858215/
Abstract

OBJECTIVE

Minimally invasive, sufficiently stable for movement and partial weight bearing, osteosythesis of pertrochanteric femoral fractures in children < 6-8 years using elastic, stable intramedullary nailing (ESIN).

INDICATIONS

Proximal, pertrochanteric femoral fractures Delbet type IV in children < 6 years.

CONTRAINDICATIONS

Comminuted fractures, femoral neck fractures.

SURGICAL TECHNIQUE

By inserting three elastic titanium nails (TEN), prebent in the proximal third, retrograde into the femur, a stable 3‑point support stabilizes the proximal fragment. For further improvement of stability, EndCaps can be used.

POSTOPERATIVE MANAGEMENT

Partial weight bearing (sole-contact) for 4-5 weeks. X‑ray controls immediately after surgery and after 4-5 weeks. No sports for 3 months.

RESULTS

In our patient population we have good experience with this technique for very rare pertrochanteric fractures in children younger than 6-8 years. With minimally invasive access, exercise-stable administration can be achieved without a pelvic leg cast.

摘要

目的

使用弹性稳定髓内钉（ESIN）对6 - 8岁以下儿童股骨转子周围骨折进行微创治疗，使其在活动和部分负重时具有足够稳定性。

适应症

6岁以下儿童近端股骨转子周围骨折（Delbet IV型）。

禁忌症

粉碎性骨折、股骨颈骨折。

手术技术

通过插入三根在近端三分之一处预弯的弹性钛钉（TEN），逆行插入股骨，形成稳定的三点支撑以固定近端骨折块。为进一步提高稳定性，可使用EndCaps。

术后管理

部分负重（足尖着地）4 - 5周。术后及4 - 5周后进行X线检查。3个月内禁止运动。

结果

在我们的患者群体中，对于6 - 8岁以下儿童极为罕见的股骨转子周围骨折，我们在这项技术方面有良好经验。通过微创入路，无需骨盆腿部石膏固定即可实现运动稳定的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/9c0cf469c205/64_2020_696_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/2069131e46f1/64_2020_696_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/bdf1d06699ea/64_2020_696_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/0afbdba40fc0/64_2020_696_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/cd7af335c83f/64_2020_696_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/592fe54cbd7c/64_2020_696_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/e7af7970e6b0/64_2020_696_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/e0b37ce0a7a5/64_2020_696_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/249c5e427430/64_2020_696_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/088402bd1175/64_2020_696_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/14966663c127/64_2020_696_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/f1c16a4cac1a/64_2020_696_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/390d6f4cae9f/64_2020_696_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/396dd7c518f1/64_2020_696_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/8af0ab42c7b6/64_2020_696_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/5231c4626427/64_2020_696_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/9c0cf469c205/64_2020_696_Fig16_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/2069131e46f1/64_2020_696_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/bdf1d06699ea/64_2020_696_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/0afbdba40fc0/64_2020_696_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/cd7af335c83f/64_2020_696_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/592fe54cbd7c/64_2020_696_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/e7af7970e6b0/64_2020_696_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/e0b37ce0a7a5/64_2020_696_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/249c5e427430/64_2020_696_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/088402bd1175/64_2020_696_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/14966663c127/64_2020_696_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/f1c16a4cac1a/64_2020_696_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/390d6f4cae9f/64_2020_696_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/396dd7c518f1/64_2020_696_Fig13_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/8af0ab42c7b6/64_2020_696_Fig14_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/5231c4626427/64_2020_696_Fig15_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ae/7858215/9c0cf469c205/64_2020_696_Fig16_HTML.jpg

相似文献

1
[Elastic, stable intramedullary nailing of pertrochanteric femoral fractures in children (<6-8 years)].[儿童（<6 - 8岁）股骨转子间骨折的弹性稳定髓内钉固定术]
Oper Orthop Traumatol. 2021 Feb;33(1):46-54. doi: 10.1007/s00064-020-00696-2. Epub 2021 Jan 26.
2
Elastic stable intramedullary nailing (ESIN) in paediatric femur and tibia shaft fractures: Comparison between titanium and stainless steel nails.小儿股骨干和胫骨干骨折的弹性稳定髓内钉固定术（ESIN）：钛钉与不锈钢钉的比较
Injury. 2018 Nov;49 Suppl 3:S8-S11. doi: 10.1016/j.injury.2018.09.049.
3
Elastic Stable Titanium Flexible Intramedullary Nails Versus Plates in Treating Low Grade Comminuted Femur Shaft Fractures in Children.弹性稳定钛制弹性髓内钉与钢板治疗儿童低等级粉碎股骨干骨折。
Orthop Surg. 2019 Aug;11(4):664-670. doi: 10.1111/os.12514.
4
Outcome of Titanium Elastic Intramedullary Nail in the Treatment of Shaft of Femur Fracture in Children.钛弹性髓内钉治疗儿童股骨干骨折的疗效
Kathmandu Univ Med J (KUMJ). 2015 Jul-Sep;13(51):195-9. doi: 10.3126/kumj.v13i3.16799.
5
[Elastic stable intramedullary nailing of femur fractures in children].[儿童股骨骨折的弹性稳定髓内钉固定术]
Oper Orthop Traumatol. 2008 Oct-Nov;20(4-5):364-72. doi: 10.1007/s00064-008-1408-6.
6
The fake unlocked femoral nail: A configuration to avoid in stable pertrochanteric femur fractures.假解锁股骨钉：稳定型股骨转子间骨折中应避免的一种情况。
Injury. 2018 Nov;49 Suppl 3:S32-S36. doi: 10.1016/j.injury.2018.09.057.
7
The Association of Metal Frame Construct of ESIN and radiographic bone healing of pediatric forearm fractures.ESIN 金属框架结构与儿童前臂骨折的放射学骨愈合的关系。
Injury. 2020 Apr;51(4):856-862. doi: 10.1016/j.injury.2020.03.028. Epub 2020 Mar 10.
8
Elastic stabile intramedullary nailing (ESIN) of diaphyseal femur fractures in children and adolescents: A strobe-compliant study.儿童和青少年股骨干骨折的弹性稳定髓内钉固定术（ESIN）：一项符合频闪灯标准的研究。
Medicine (Baltimore). 2019 Apr;98(14):e15085. doi: 10.1097/MD.0000000000015085.
9
Pitfalls of femoral titanium elastic nailing.股骨钛弹性髓内钉的陷阱
Scand J Surg. 2015 Jun;104(2):121-6. doi: 10.1177/1457496914529275. Epub 2014 Apr 15.
10
A Quartet of Elastic Stable Intramedullary Nails for More Challenging Pediatric Femur Fractures.用于更具挑战性的小儿股骨骨折的弹性稳定髓内钉四重奏
J Pediatr Orthop. 2019 Jan;39(1):e12-e17. doi: 10.1097/BPO.0000000000001273.

引用本文的文献

1
Surgical outcomes of proximal femoral bone cysts in pediatric patients: a retrospective study of 41 cases.小儿近端股骨骨囊肿的手术治疗结果：41例回顾性研究
Front Pediatr. 2024 Jun 24;12:1331089. doi: 10.3389/fped.2024.1331089. eCollection 2024.
2
A novel pre-bending tool for elastic stable intramedullary nailing: An efficient and accurate study.一种用于弹性稳定髓内钉固定的新型预弯工具：一项高效且准确的研究。
J Child Orthop. 2023 Aug 18;17(5):453-458. doi: 10.1177/18632521231193713. eCollection 2023 Oct.

本文引用的文献

1
Management of Pediatric Femoral Neck Fracture.小儿股骨颈骨折的治疗。
J Am Acad Orthop Surg. 2018 Jun 15;26(12):411-419. doi: 10.5435/JAAOS-D-16-00362.
2
Osteonecrosis After Femoral Neck Fractures in Children and Adolescents: Analysis of Risk Factors.儿童和青少年股骨颈骨折后的骨坏死：危险因素分析
J Pediatr Orthop. 2016 Mar;36(2):111-6. doi: 10.1097/BPO.0000000000000424.
3
Factors affecting the outcome of fractures of the femoral neck in children and adolescents: a systematic review.影响儿童和青少年股骨颈骨折治疗效果的因素：系统评价。
Bone Joint J. 2013 Jan;95-B(1):135-42. doi: 10.1302/0301-620X.95B1.30161.
4
Hip fractures in children.儿童髋部骨折
J Am Acad Orthop Surg. 2009 Mar;17(3):162-73. doi: 10.5435/00124635-200903000-00005.
5
[Elastic stable intramedullary nailing of femur fractures in children].[儿童股骨骨折的弹性稳定髓内钉固定术]
Oper Orthop Traumatol. 2008 Oct-Nov;20(4-5):364-72. doi: 10.1007/s00064-008-1408-6.
6
[Fractures near the femur head in children and adolescents].
Helv Chir Acta. 1993 Mar;59(4):547-52.
7
Elastic stable intramedullary nailing of femoral shaft fractures in children.
J Bone Joint Surg Br. 1988 Jan;70(1):74-7. doi: 10.1302/0301-620X.70B1.3339064.