Sasso R C, Urquhart B A, Cain T E
University of Texas Medical School, Houston.
J Pediatr Orthop. 1993 Jan-Feb;13(1):51-6. doi: 10.1097/01241398-199301000-00011.
Eighteen patients underwent closed intramedullary femoral shortening at a children's teaching hospital. Their average age was 16 years 2 months (range 14-18 years). Clinical and radiographic union was obtained in < or = 3 months in all patients. Shortening averaged 4.4 cm (range 3-5 cm). Complications included one case of acute respiratory distress and three cases of fixation loss. We describe the procedure for closed intramedullary rodding without use of a fracture table and recommend (a) that reaming proceed slowly through an enlarged proximal portal, and (b) that in all cases nails be interlocked both proximally and distally.
18名患者在一家儿童教学医院接受了股骨闭合髓内缩短术。他们的平均年龄为16岁2个月（范围为14 - 18岁）。所有患者均在≤3个月时实现临床和影像学愈合。平均缩短4.4厘米（范围为3 - 5厘米）。并发症包括1例急性呼吸窘迫和3例固定失败。我们描述了不使用骨折手术台进行闭合髓内插棒的手术方法，并建议：(a) 通过扩大的近端入口缓慢进行扩髓，以及(b) 在所有病例中均在近端和远端锁定髓内钉。
