Norman D, Bialik V
Pediatric Orthopedic Unit, Rambam Medical Center, Haifa.
Harefuah. 1995 Aug;129(3-4):103-7, 158.
18 children (13 boys, 5 girls) with displaced fractures of the femur (13 cases) and tibia (5) after road accidents were treated with Wagner external fixation. 5 fractures were open and 13 closed. 9 also had head injury and were unconscious. In 3 fractures the popliteal artery was torn, requiring arterial reconstruction. 15 were examined an average of 2.3 years after injury and there was full range of motion in 13. In 2 after severe injury, range of motion was 80% of normal. There was refracture after removal of external fixation in 1. We conclude that external fixation is stable and has minimal complications. We recommend it for children with comminuted fractures, multiple trauma and those in intensive care.
18名因道路交通事故导致股骨(13例)和胫骨(5例)移位骨折的儿童(13名男孩,5名女孩)接受了瓦格纳外固定治疗。5处骨折为开放性骨折,13处为闭合性骨折。9名儿童还伴有头部损伤且昏迷。3处骨折伴有腘动脉撕裂,需要进行动脉重建。15名儿童在受伤后平均2.3年接受检查,其中13名儿童关节活动范围正常。2名严重受伤儿童的关节活动范围为正常的80%。1名儿童在拆除外固定后发生了再骨折。我们得出结论,外固定稳定且并发症极少。我们建议将其用于治疗粉碎性骨折、多发伤儿童以及重症监护中的儿童。