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采用弹性不锈钢髓内钉治疗小儿股骨骨折

TREATMENT OF PEDIATRIC FEMUR FRACTURES WITH FLEXIBLE STAINLESS STEEL INTRAMEDULLARY NAIL.

作者信息

Brandão Marcella Adryanne Dias, Arantes José Eduardo Sanches, Chueire Alceu José Fornari Gomes, Carvalho Guaracy

机构信息

Faculdade de Medicina de Rio Preto FAMERP, Faculdade de Medicina, Hospital de Base, Departamento e Ortopedia e Traumatologia, São José do Rio Preto, SP, Brazil.

出版信息

Acta Ortop Bras. 2024 Aug 2;32(3):e267630. doi: 10.1590/1413-785220243203e267630. eCollection 2024.

DOI:10.1590/1413-785220243203e267630
PMID:39119248
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308552/
Abstract

OBJECTIVES

To identify the characteristics of patients and femur fractures treated with a stainless steel intramedullary nail (ESIN) in children under 15 years of age. Know the results of using the ESIN of related steel in the service.

METHODS

Retrospective study with review of hospital records and organization of data in spreadsheets.

RESULT

24 cases were identified, 17 male cases and 7 female cases. A minimum age of 4 years and a maximum of 11 years were observed (average of 7 years). The 3 most common trauma mechanisms were being run over (n:8, 33%) and falling from a height (n:8, 3%). The most common location of the fractures was in the mid-diaphyseal region (n: 20, 88%), only one case presented a bilateral femur fracture. The most common associated trauma was traumatic brain injury. The observation period observed several months between 2 and 5. With regard to complications, 3 cases were observed (12.5%) being bursitis, vicious construction and loss of reduction.

CONCLUSION

Steel HIF shows similar good results. As the study includes the retrospective profile, the absence of a group and the small sample size.

摘要

目的

确定15岁以下儿童使用不锈钢髓内钉(ESIN)治疗的患者和股骨骨折的特征。了解相关钢材的ESIN在使用中的结果。

方法

通过回顾医院记录并在电子表格中整理数据进行回顾性研究。

结果

共确定24例病例,其中男性17例,女性7例。观察到最小年龄为4岁,最大年龄为11岁(平均7岁)。3种最常见的创伤机制是被碾压(n = 8,33%)和高处坠落(n = 8,3%)。骨折最常见的部位是骨干中段(n = 20,88%),只有1例为双侧股骨骨折。最常见的相关创伤是创伤性脑损伤。观察期为2至5个月。关于并发症,观察到3例(12.5%),分别为滑囊炎、骨不连和复位丢失。

结论

HIF钢显示出类似的良好结果。由于该研究包括回顾性概况,缺乏对照组且样本量较小。

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Orthop Surg. 2021 Apr;13(2):434-441. doi: 10.1111/os.12897. Epub 2021 Jan 19.
2
Validation of a modified Clavien-Dindo Classification for postoperative complications in orthopedic surgery.改良版Clavien-Dindo分类法在骨科手术术后并发症中的验证
Rev Fac Cien Med Univ Nac Cordoba. 2020 Aug 21;77(3):161-167. doi: 10.31053/1853.0605.v77.n3.27931.
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
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Injury. 2018 Nov;49 Suppl 3:S8-S11. doi: 10.1016/j.injury.2018.09.049.
5
Elastic Stable Intramedullary Nailing of Femoral Shaft Fracture-Experience in 48 Children.弹性稳定髓内钉治疗股骨干骨折——48例儿童的经验
Arch Bone Jt Surg. 2018 Jan;6(1):39-46.
6
AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).AO儿童长骨骨折综合分类(PCCF)
J Orthop Trauma. 2018 Jan;32 Suppl 1:S117-S140. doi: 10.1097/BOT.0000000000001065.
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