髓内针固定治疗儿童股骨骨折  

Intramedullary Nailing for Fracture of Femoral Shaft in Children

作　　者：王洪[1] 杜靖远[1] 罗怀灿[1] 刘国平[1] 

机构地区：[1]同济医科大学附属协和医院骨科

出　　处：《中华小儿外科杂志》1998年第2期73-74,共2页Chinese Journal of Pediatric Surgery

摘　　要：目的：观察髓内针对儿童股骨生长的影响。方法：２０例儿童股骨上、中１／３骨折采用切开复位，髓内针固定术，术后常规外固定，半年至１年内拔除髓内针。结果：１例患肢较健侧缩短２．２ｃｍ，４例患肢较健侧长０．５～１．２ｃｍ，其余患肢均与健侧等长。其中２例患肢功能受限，其余患肢功能均正常。１例发生髓内针断针。患肢较健侧长的患儿，在其生长发育过程中能自行矫正。结论：髓内针固定适合儿童股骨上、中１／３骨折，但在临床应用上应慎重。Objective: To observe the effects of intramedullary nailing on femoral growth. Methods: Open reduction and intramedullary nailing were applied to 20 cases with fracture of upper and middle one third of femoral shaft. External flxation was used routinely after nailing. The nail was removed half to one year after initial nailing. Results: 2.2cm shorter in the affected limb than in contralateral was found in one case, 0.5～1.2cm longer in 4 cases. Dysfunction was in 2 cases and nail broken in 1. Leg length discrepancy can spontaneously corrected as the patients grow up. Conclusions: Intramedullary nailling is applicable in the treatment for fracture of upper and middle one third femoral shaft in children. But proper selection should be emphasized.

关 键 词：髓内针 股骨骨折 儿童 

分 类 号：R726.834.2[医药卫生—儿科]