Maruenda-Paulino J I, Sanchis-Alfonso V, Gomar-Sancho F, Darder-Prats A, Gasco-Gomez de Membrillera J
Department of Traumatology and Orthopaedic Surgery, Faculty of Medicine, University of Valencia, Spain.
Int Orthop. 1993;17(3):158-61. doi: 10.1007/BF00186377.
We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There was growth disturbance of the proximal femur in one case, but this did not interfere with function. We believe that Kuntscher nailing is indicated in children and adolescents with unstable high velocity fractures of the femoral shaft.
我们回顾了29例采用克氏针内固定治疗的儿童和青少年股骨干极不稳定骨折病例。随访时间至少为5年，大多数病例随访至生长结束。术后无并发症，股骨平均过度生长7.06毫米。1例股骨近端出现生长紊乱，但未影响功能。我们认为，克氏针内固定适用于儿童和青少年的股骨干不稳定高速骨折。
