Sutcliffe J R, Wilson-Storey D, Mackinlay G A
Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, Scotland, UK.
J R Coll Surg Edinb. 1995 Dec;40(6):411-5.
Femoral fracture is a relatively common cause of trauma admission to the paediatric surgical services in Edinburgh. Our current policy is to use gallows traction for babies and infants under 2 years and external Liston splintage with straight leg balanced skin traction for older children followed by either early mobilization or the application of a hip spica or cast brace. We reviewed the use of this management protocol over a 10-year period (323 cases) in order to assess its value and complications. A prospective study was made of 143-patients between 5 and 10 years after their fracture to assess residual disability. We found our management protocol to be a simple, highly reliable method of treatment with a minimum of complications or long-term disability.
股骨骨折是爱丁堡小儿外科创伤入院的一个相对常见原因。我们目前的政策是，对于2岁以下的婴幼儿使用悬吊牵引，对于大龄儿童使用带直腿平衡皮牵引的外部利斯顿夹板，随后进行早期活动或应用髋人字石膏或管型支具。我们回顾了该治疗方案在10年期间（323例）的使用情况，以评估其价值和并发症。对143例骨折后5至10年的患者进行了前瞻性研究，以评估残留残疾情况。我们发现我们的治疗方案是一种简单、高度可靠的治疗方法，并发症或长期残疾最少。
