Yandow S M, Archibeck M J, Stevens P M, Shultz R
Department of Orthopedics, University of Utah, and Shriners Hospital for Children, Salt Lake City 84103-4399, USA.
J Pediatr Orthop. 1999 Jan-Feb;19(1):55-9.
Two hundred fifty-three femoral-shaft fractures in 246 pediatric patients treated between 1976 and 1986 were retrospectively reviewed, and 186 fractures in 181 patients were available for demographic review. Fifty-nine patients underwent spica casting within 48 h of injury, whereas 127 were placed in traction and underwent delayed casting (>48 h from injury). Fifty-five patients in the traction group and 33 in the immediate-casting group were locatable for long-term follow-up of 8.9 years average (range, 4-20 years). There was no clinically significant difference in limb-length inequalities, or rotational or angular deformities between the two groups at initial casting or at final follow-up. Hospital stay averaged 17.3 days in the traction group and 2.2 days in the immediate-casting group (p < 0.001). Total estimated charges, at current rates, demonstrated an 83% greater patient charge in the traction group than in the immediate-casting group.
对1976年至1986年间接受治疗的246例儿科患者的253例股骨干骨折进行回顾性研究，其中181例患者的186处骨折可用于人口统计学分析。59例患者在受伤后48小时内接受了髋人字石膏固定，而127例患者先接受牵引，然后延迟石膏固定（受伤后>48小时）。牵引组中的55例患者和立即石膏固定组中的33例患者可找到进行平均8.9年（范围4 - 20年）的长期随访。两组在初次石膏固定时或最终随访时，肢体长度不等、旋转或角畸形方面均无临床显著差异。牵引组平均住院时间为17.3天，立即石膏固定组为2.2天（p < 0.001）。按当前费率计算，牵引组的总估计费用比立即石膏固定组高出83%。
