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Küntscher髓内钉治疗儿童股骨骨折。它完全禁忌吗?

Küntscher nailing in the treatment of femoral fractures in children. Is it completely contraindicated?

作者信息

Valdiserri L, Marchiodi L, Rubbini L

出版信息

Ital J Orthop Traumatol. 1983 Sep;9(3):293-6.

PMID:6662707
Abstract

Seventeen children between the ages of 6 and 12 years with fractured femoral shafts were treated by Küntscher nailing. They were followed up clinically and radiographically to ascertain if nailing had any long term adverse effects. The following radiographic parameters were considered: --valgus, varus angle; --distance between lesser trochanter and acetabulum; --width of the neck of the femur; --distance between greater trochanter and acetabulum; --intertrochanteric distance. On analysing the results it was found that Küntscher nailing did not give rise to any adverse effects provided it is carried out after 8-9 years of age.

摘要

17名6至12岁股骨干骨折的儿童接受了 Küntscher 髓内钉治疗。对他们进行了临床和影像学随访,以确定髓内钉固定是否有任何长期不良影响。考虑了以下影像学参数:——外翻、内翻角度;——小转子与髋臼之间的距离;——股骨颈宽度;——大转子与髋臼之间的距离;——转子间距离。分析结果发现,只要在8至9岁之后进行Küntscher髓内钉固定,就不会产生任何不良影响。

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