小切口外固定支架治疗婴幼儿股骨干骨折  

Small Incision of External Fixation for the Treatment of Infantile Femoral Shaft Fracture

作　　者：李卫华[1] 王晓[1] 郭阿磊 孟涛[1] 潘华刚[1] 

机构地区：[1]河南大学淮河医院骨科,河南开封475001

出　　处：《中国伤残医学》2014年第23期8-9,共2页Chinese Journal of Trauma and Disability Medicine

基　　金：国家自然科学基金资助项目

摘　　要：目的：探讨外固定支架治疗婴幼儿股骨干骨折的临床治疗效果。方法：2009年7月∽2012年6月间收治的无法耐受垂直悬吊皮肤牵引婴幼儿股骨干骨折9例，男6例，女3例；年龄16个月∽50个月，平均27个月。所有病例均于双下肢垂直悬吊皮肤牵引失败后施行外固定架手术治疗。结果：术后患者均获随访，随访时间12∽24个月，平均15．3个月。骨折均获临床愈合，愈合时间4∽10周，平均8周。术后12个月根据Carey等评价标准进行评价，优7例，良2例，可0例，差0例，优良率100％。结论：外固定架治疗无法耐受垂直悬吊皮肤牵引婴幼儿股骨干骨折是一种安全有效的方法，大大减少患儿痛苦，降低了并发症的发生。Objective：To explore the clinical effect of external fixation for the treatment of infantile femoral shaft fracture .Methods：Respectively analyzed the treatment and clinical results of 9 cases of infantile femoral shaft fracture were followed up from July 2010 to June 2009,male 6 cases, female 3 cases;aged 16 months to 50 months, average 27 months.All the cases were in the lower limbs after the failure of vertical suspension traction as a treatment of operation and external fixator .Results：The patients were followed up 12 to 24 months with an average of 15.3 months.All fractures achieved clinical healing , healing time 4 ∽10 weeks, average 8 weeks.After 12 months, according to the Carey evaluation criterion , excellent in 7 cases, good in 2 cases, 0 cases, poor in 0 cases, the excellent and good rate was 100%.Conclusions：External fixation for the treatment of intolerance of vertical suspension traction infantile femoral shaft fracture is a safe and effective method , greatly reduce the pain of patients , reduce complications .

关 键 词：婴幼儿 股骨干骨折 外固定架 解剖复位 

分 类 号：R683.42[医药卫生—骨科学]