Mazda K, Khairouni A, Penneçot G F, Bensahel H
Department of Orthopaedic Surgery, Robert Debré Hospital, Xavier Bichat Medical faculty, Paris VII University, France.
J Pediatr Orthop B. 1997 Jul;6(3):198-202. doi: 10.1097/01202412-199707000-00008.
We treated 34 femoral shaft fractures in 32 children with elastic intramedullary nailing using titanium rods. The 24 boys and 8 girls ranged from 6-17 years. All fractures united. The weight bearing was authorized at an average of 67 days and was complete at an average of 89 days. All children returned to school before the end of the second postoperative month. An an average of 2.5 years, no rotational malalignment was present. Neither anteroposterior nor frontal malalignment of more than 2 degrees was noticed. A leg length discrepancy of more than 10 mm was present in 3 patients (8%). No injury of femoral head vascularization or of the proximal or distal growth plate was noticed. In our experience, this technique seems to be safe for the surgical treatment of the immature femoral shaft fractures. The elastic properties of titanium provide a very good stability of the montage, when the technique is correctly performed.
我们使用钛棒弹性髓内钉治疗了32例儿童的34处股骨干骨折。其中24名男孩和8名女孩，年龄在6至17岁之间。所有骨折均愈合。平均67天开始负重，平均89天完全负重。所有儿童在术后第二个月末前返回学校。平均随访2.5年，无旋转畸形。未发现前后位或侧方畸形超过2度。3例患者（8%）存在腿长差异超过10 mm。未发现股骨头血管化或近端或远端生长板损伤。根据我们的经验，这种技术对于未成熟股骨干骨折的手术治疗似乎是安全的。当技术正确实施时，钛的弹性特性可提供很好的固定稳定性。
