Knittel G, Römer K H
Z Kinderchir. 1984 Feb;39(1):59-64. doi: 10.1055/s-2008-1044172.
This is a report of 47 followed-up children in whom open intramedullary splinting of the medullary space was effected because of fracture of the shaft of the femur, using the rush-pinning technique developed by the authors. In 33 children, a slight increase of longitudinal growth was seen, which amounted to 2-20 mm. The average longitudinal extension was 9.4 mm. In 10 children, there was a shortening amounting to 1-15 mm, the average being 4.6 mm. The change in length was independent of age, localisation of the fracture, and length of time during which the pin remained in position. The effect that a slight change in valgus positioning was seen in 7 children, whereas slight turning of the hip into varus occurred in 9 children only, points to a merely slight irritation of the trochanter metaphysis.
本文报告了47例接受随访的儿童,这些儿童因股骨干骨折采用作者研发的髓内穿钉技术进行了髓腔开放内固定。33例儿童出现了纵向生长略有增加,增加幅度为2至20毫米,平均纵向延长为9.4毫米。10例儿童出现了缩短,缩短幅度为1至15毫米,平均为4.6毫米。长度变化与年龄、骨折部位以及穿钉在位时间无关。7例儿童出现了外翻位轻微改变,而仅9例儿童出现了髋内翻轻微改变,这表明转子干骺端仅有轻微刺激。