Heinrich S D, Drvaric D M, Darr K, MacEwen G D
Department of Orthopaedics, Louisiana State University Medical School, New Orleans.
J Pediatr Orthop. 1994 Jul-Aug;14(4):501-7. doi: 10.1097/01241398-199407000-00016.
Seventy-eight diaphyseal femur fractures in 77 children were stabilized with flexible intramedullary nails. The patients ranged in age from 2 + 9 to 18 years. All patients had open femoral growth plates at the time of fixation. Eleven percent of the fractures had an average varus or valgus malalignment of 6 degrees. Eight percent of the fractures had an average anterior or posterior malalignment of 8 degrees. Eight percent of the patients had a rotational malalignment that averaged 8 degrees. Sixty-eight percent of the children had equal leg lengths at follow-up. There were four unscheduled reoperations, but no major complications; all fractures united. The results obtained using flexible intramedullary nails for the stabilization of select pediatric diaphyseal femur fractures are comparable to nonoperative methods of treatment, but with less disruption to family life and a shorter hospitalization.
77名儿童的78例股骨干骨折采用弹性髓内钉固定。患者年龄从2岁9个月至18岁不等。所有患者在固定时股骨生长板均开放。11%的骨折平均内翻或外翻畸形为6度。8%的骨折平均前后畸形为8度。8%的患者有平均8度的旋转畸形。68%的儿童在随访时双下肢长度相等。有4例计划外再次手术，但无重大并发症；所有骨折均愈合。使用弹性髓内钉固定特定儿童股骨干骨折所获得的结果与非手术治疗方法相当，但对家庭生活的干扰较小，住院时间较短。
