Hull J B, Sanderson P L, Rickman M, Bell M J, Saleh M
Department of Orthopaedic Surgery, Northern General Hospital, Sheffield, United Kingdom.
J Pediatr Orthop B. 1997 Jul;6(3):203-6.
We have reviewed 48 children's diaphyseal fractures of the femur and tibia managed with the Orthofix Dynamic Axial Fixator between 1987 and 1994. The indications for external fixation included open fractures, multiple injuries, failed conservative management, and unstable fracture configurations. All fractures healed without further surgical intervention, and the incidence of serious complications was low. Although pin track sepsis was common, compromise of the fixation as a result of this occurred in only one case. We conclude that use of the Orthofix for children's fractures is a safe and effective management option.
我们回顾了1987年至1994年间采用奥托芬动态轴向固定器治疗的48例儿童股骨干和胫骨干骨折。外固定的适应证包括开放性骨折、多发伤、保守治疗失败以及不稳定骨折类型。所有骨折均未进行进一步手术干预而愈合，严重并发症的发生率较低。虽然针道感染很常见，但仅1例因此导致固定失败。我们得出结论，使用奥托芬治疗儿童骨折是一种安全有效的治疗选择。
