支具固定治疗新生儿股骨干骨折  

Treatment of femur fracture in neonates using harness

作　　者：刘玉昌[1] 林伟枫[1] 于振武[1] 李亚洲[1] 王汉林[1] 

机构地区：[1]河北医科大学第三医院小儿骨科,石家庄050051

出　　处：《中国医师进修杂志》2008年第3期13-16,共4页Chinese Journal of Postgraduates of Medicine

基　　金：河北省卫生厅科研立项项目（05188）

摘　　要：目的利用自行研制的新型支具治疗新生儿股骨干骨折并观察其临床疗效。方法研制新生儿股骨干骨折固定支具，并应用于7例（8侧）新生儿股骨干骨折。股骨干上1／3骨折2侧，股骨干中1／3骨折6侧，术前骨折成角44°～83°（平均62．4°）。结果应用支具后股骨断端成角0°～22°（平均14．0°），住院时间2～3d，无皮肤受损及支具脱落。随访6～36个月（平均21．3个月），所有骨折愈合良好，双下肢长度差别〈1cm，患肢功能活动正常。结论新生儿股骨干骨折固定支具是治疗新生儿股骨干中上段骨折的一种良好方法，具有操作简单、住院时间短、费用低、护理方便等特点。Objective To treat femur fracture in neonates using a new homemade harness designed and observe the effec of this harness. Methods Designed a new harness used in femur fracture in neonates, and used this harness in 7 （8 femur fracture） cases, including 6 boys （7 femur fracture）and 1 girl, the age from 1 day to 12 days （average 4.7 days）. Those cases included proximal thirds （2 cases） and middle thirds （6 cases） of femur fracture. The angle of fracture was from 44° to 83° （average 62.4° ）before treatment. Results The angle of fracture was from 0° to 22° （average 14.0° ）after treatment using the harness. Hospitalization was from 2 to 3 days. There were no skin sloughing or harness breaking off. All cases were foUowed up 6 to 36 months （average 21.3 months）. All femur fracture healed in good alignment with leg-length discrepancy 〈 1 cm. Movement of hip and knee was normal. Conclusions The harness is a better method to treat femur fracture of the proximal and middle thirds in neonates. Advantages of it include simply operation, minimal hospitalization, minimal cost, and easy nursing.

关 键 词：婴儿 新生 股骨骨折 外固定器 

分 类 号：R722.1[医药卫生—儿科] R726.8[医药卫生—临床医学]