Bao Q J
Second Teaching Hospital of Shanxi Medical College, Taiyuan.
Zhonghua Wai Ke Za Zhi. 1993 Sep;31(9):548-9.
Intramedullary nailing was performed for 40 old femoral fractures in children. Open intramedullary nailing was used in all fractures. The results showed that intramedullary nailing was suitable for upper and middle third femoral fractures, including transverse or short oblique fractures, multiple segmental fractures, malunited fractures and fractures failed to unite after internal fixation with plate. The authors consider that fresh long oblique or spiral fractures, severe comminuted fractures and lower third femoral fractures are not suitable for intramedullary nailing. In this series, 34 patients have been followed up 2.5 to 8 years (averaged 5.4 years) and all their fractures had been united. The function of the hip and knee was normal in 32 patients. Excellent and good results were obtained in 32 patients (94.1%). The epiphysis of the femoral trochanter and growth of femur have not been damaged by nailing.
对40例儿童陈旧性股骨骨折行髓内钉固定术。所有骨折均采用切开髓内钉固定。结果显示，髓内钉适用于股骨中上段骨折，包括横形或短斜形骨折、多段骨折、畸形愈合骨折以及钢板内固定后不愈合骨折。作者认为新鲜的长斜形或螺旋形骨折、严重粉碎性骨折以及股骨下段骨折不适合髓内钉固定。在该系列研究中，34例患者获得随访，随访时间为2.5至8年（平均5.4年），所有骨折均已愈合。32例患者髋、膝关节功能正常。32例患者（94.1%）疗效优良。髓内钉固定未损伤股骨大转子骨骺及股骨生长。
