儿童股骨干骨折不同年龄手术治疗的探讨  

Treatment of femoral shaft fracture of children in various ages

作　　者：王亚生[1] 李民[1] 吕伟民[1] 林丽珠[1] 黄春菊[1] 

机构地区：[1]福建漳州市中医院骨伤二科,363000

出　　处：《中国矫形外科杂志》2005年第22期1718-1719,共2页Orthopedic Journal of China

摘　　要：[目的]探讨儿童不同年龄股骨干骨折的三种内固定手术治疗效果。[方法]对47例儿童股骨干骨折的手术治疗方法及结果进行回顾性总结。[结果]髓内针固定4例、钢板螺钉固定29例、多枚螺钉固定14例。所有骨折手术后4～8周临床愈合,6～10个月(平均8个月)骨性愈合后取出内固定物。其中1例过早负重,钢板弯曲变形,再次手术10个月后骨性愈合。随访时间1～10a(平均5a)。[结论]髓内针固定操作简单,适用于年龄偏大儿童股骨上段,钢板固定适用于中段或下段骨折,多枚螺钉固定适用于长斜形或螺旋形股骨干骨折。[ Ohjeetive] To discuss the treating effects of femoral shaft fractures of children in various ages. [ Method] The operative methods and results from 47 cases of femur shaft fractures of children were studied retrospectively. [ Result] Intramedullary pin fixations were performed in 4 cases, plate and screw fixations were performed in 29 cases, multi-screw fixations were performed in 14 cases. Clinical healings were achieved in four to eight weeks after operations in all cases. Internal fixation devices were taken out in six to ten months （ averaged, 8 months） after bone union. Loading exercises was started much so early in 1 case that the plate was bent, and bone union was acquired in 10 months after re-operation. Follow-up time ranged from 1 to 10 years （ averaged, 5 years ） in all cases. [ Conclusion ] Intramedullary pin fixation is simple to be handled, and is indicated for superior femoral segment of elder children ; plate fixation is indicated for frames of middle piece or inferior segment ; multi-screw is indicated for fractures of femoral shaft with spiral shape or long oblique shape.

关 键 词：骨折固定术 股骨 儿童 股骨干骨折 内固定 手术治疗 

分 类 号：R726.8[医药卫生—儿科] R681.6[医药卫生—临床医学]