Hancerli Cafer Ozgur, Agus Haluk
Orthopedics, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, TUR.
Orthopedics, Tepecik Training and Research Hospital, Izmir, TUR.
Cureus. 2023 Sep 27;15(9):e46099. doi: 10.7759/cureus.46099. eCollection 2023 Sep.
Femoral shaft fractures in childhood constitute an important part of emergency visits to orthopedic clinics. The aim of this study was to investigate the efficacy and reliability of a method in the treatment of simple fractures in the middle of the femoral diaphysis in patients with multiple injuries or in the treatment of cases with a medullary canal that is too narrow for two nails, with a single stretch nail thicker than half the diameter of the canal.
Between July 2002 and November 2006, examinations were made of 11 femoral fractures in 11 patients who were admitted to the pediatric emergency department of Tepecik Training and Research Hospital with a diagnosis of femoral fracture and who were hospitalized and treated with a single flexible intramedullary titanium nail.
In the follow-up, no problem was found in terms of union and length difference in any of the cases, except for a 10º varus deformity present after surgery in one case.
Elastic intramedullary nailing is an effective method in the treatment of simple femoral fractures in children. A single elastic nail provides adequate stability following open reduction with minimal incision in patients whose short operating time must be kept short such as those with head trauma, thoracic trauma, or intra-abdominal pathology, or patients with a narrow medullary canal where two flexible nails cannot pass. We think that it is a feasible method because it causes minimal soft tissue damage.
儿童股骨干骨折是骨科门诊急诊的重要组成部分。本研究的目的是探讨一种方法在治疗多发伤患者股骨干中段单纯骨折或髓腔过窄无法容纳两枚髓内钉的病例时的有效性和可靠性，该方法采用一枚直径大于髓腔直径一半的弹性髓内钉。
2002年7月至2006年11月，对11例诊断为股骨干骨折并入住泰佩奇培训与研究医院儿科急诊科的患者进行了检查，这些患者均接受了单根弹性髓内钛钉内固定治疗。
随访发现，除1例术后出现10°内翻畸形外，其余病例在骨折愈合和肢体长度差异方面均未出现问题。
弹性髓内钉固定术是治疗儿童单纯股骨干骨折的有效方法。对于头部外伤、胸部外伤或腹部疾病患者等手术时间必须尽量缩短的病例，或髓腔狭窄无法容纳两枚弹性髓内钉的患者，单根弹性髓内钉在切开复位后能提供足够的稳定性，切口小，手术时间短。我们认为该方法可行，因为它对软组织的损伤最小。
