Bourdelat D
Department of Pediatric Surgery, Hôpital Delafontaine, Saint-Denis, France.
J Pediatr Orthop B. 1996 Spring;5(2):110-4. doi: 10.1097/01202412-199605020-00010.
In a 7-year period, 70 children aged 5-15 years (mean 9.2 years) were treated for a fracture of the femoral shaft (73 fractures: 71 closed and 2 open) by flexible medullary nailing, either ascending (12 cases) or descending (61 cases). Although the classic treatment is use of the ascending route described by the Nancy team, the subtrochanteric descending route was preferred for its simplicity. Noninvolvement of the knee by the insertion of the nail allows earlier autonomy in children. Results were satisfactory and no complications related to the method were observed. Biomechanical principles are also respected by such treatment.
在7年的时间里，70名5至15岁（平均9.2岁）的儿童因股骨干骨折（73处骨折：71处闭合性骨折和2处开放性骨折）接受了弹性髓内钉治疗，其中顺行插入（12例）或逆行插入（61例）。尽管经典的治疗方法是采用南希团队描述的顺行入路，但由于其操作简单，股骨转子下逆行入路更受青睐。通过插入髓内钉而不涉及膝关节，使得儿童能够更早地实现自理。结果令人满意，未观察到与该方法相关的并发症。这种治疗方法也符合生物力学原理。
