Treatment effect of elastic intramedullary nail reduction and fixation on children with femoral neck fractures.

OBJECTIVE

To investigate the treatment effect of elastic intramedullary nail reduction and fixation on children with femoral neck fractures.

METHODS

Sixty-two children with femoral neck fractures in our hospital were equally divided into the open reduction and Kirschner wire internal fixation group (group O) and elastic intramedullary nail reduction and fixation group (group E). We investigated the differences in fracture healing time, intraoperative situation, clinical efficacy, Harris scores, secondary effects and bone healing time between group O and group E.

RESULTS

The intraoperative indexes such as operation time and blood loss of group E were significantly lower than those of group O (P<0.05). After the operation, the treatment effect of group E was slightly higher than that of group O, but there was no significant difference (P>0.05). The Harris score of group E was significantly higher than that of group O (P<0.05). The fracture healing time and bone healing time after the surgery in group E were significantly shorter than those in group O (P<0.05). The incidence of secondary effects in group E was lower than that in group O, but without significant difference (P>0.05).

CONCLUSION

Elastic intramedullary nail reduction and fixation has a better effect in the treatment of children with femoral neck fractures, which can accelerate fracture healing time and improve children's hip function after the operation.