Griffin P P
Orthop Clin North Am. 1976 Jul;7(3):633-8.
Bryant's traction in children in whom the proper prerequisites are present, 90-90 traction for proximal third fractures in children over three, all shaft fractures in children between three and 10 years of age, and split Russell skeletal traction for those over 10 years of age are effective methods for treating femural fractures. Attention to detail is necessary to correct angulation and to obtain and maintain the appropriate amount of over-riding based upon age. Excessive over-riding, distraction, and unreasonable angulation cause functional disability that may require corrective surgery.
对于具备适当前提条件的儿童,采用布赖恩特牵引法;对于三岁以上儿童的股骨近端三分之一骨折,采用90-90牵引法;对于三至十岁儿童的所有股骨干骨折,以及对于十岁以上儿童采用改良罗素骨骼牵引法,这些都是治疗股骨骨折的有效方法。注重细节对于纠正成角以及根据年龄获得并维持适当的重叠量很有必要。过度的重叠、牵引分离以及不合理的成角会导致功能障碍,可能需要进行矫正手术。