垂直悬吊皮牵引治疗儿童股骨干骨折的疗效观察  

The efficacy of skin traction for the treatment of children's femoral shaft fracture

作　　者：王正飞[1] 盛晓文[1] 薛峰[1] 

机构地区：[1]苏州大学附属常熟第一人民医院骨科,江苏常熟215500

出　　处：《岭南现代临床外科》2015年第6期723-727,共5页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨垂直悬吊皮牵引治疗儿童股骨干骨折的效果。方法2003月8月至2014年6月,采用垂直悬吊皮牵引治疗1~4岁儿童股骨干骨折32例,男19例,女13例,年龄1~4岁,平均年龄2.7岁,评估负重时间,骨折愈合时间及并发症情况。结果所有骨折均获得愈合,愈合时间6~9周,平均愈合时间约7.3周。半年后测量发现肢体短缩0.3~1.7 cm,平均短缩1.2cm,短缩率为75%。所用病例在以后的随访中都恢复至正常。无骨不连、骨不愈合发生,无皮肤受损现象,未出现保守治疗的相关并发症。结论采用垂直悬吊皮牵引,能有效的治疗4岁以下儿童股骨干骨折。Objective To investigate the efficacy of skin traction for the treatment of children＇s femoral shaft fracture. Methods Between August 2003 and June 2014, 32 patients（19 males and13 females）.with a mean age of 2.7 years.（range 1-4 years） were treated with the skin traction in our institute. Full weight bearing time, time of fracture healing and complications were evaluated. Results All fractures had good recovery. The mean time of fracture healing was 7.3 weeks（range 6-9 weeks）.75% cases presented with shortening of wound legs with the 1.2 cm（range 0.3-1.7 cm） of mean length of shortening was 1.2 cm（range 0.3-1.7 cm）. Spontaneous recovery was observed in all cases during period of follow-up. Complications including nonunion, delayed union, joint stiffness, skin problems,etc did not occur. Conclusion Skin traction is an effective method to teat the femoral shaft fracture of children under 4 years old.

关 键 词：儿童 股骨干 骨折 皮牵引 

分 类 号：R683.42[医药卫生—骨科学]