超声引导下弹性髓内钉固定治疗儿童股骨骨折  

The treatment of femoral fractures in children with ultrasound-guided elastic intramedullary nails

作　　者：黄克成 江红艳 朱宝林 刘守正 HUANG Ke-cheng;JIANG Hong-yan;ZHU Bao-lin;LIU Shou-zheng(Dept of Orthopaedics, Shuyang Hospital Affiliated to Xuzhou Medical University, the People′s Hospital of Shuyang County, Suqian,Jiangsu 223600,China)

机构地区：[1]徐州医科大学附属沭阳医院沭阳县人民医院骨科

出　　处：《临床骨科杂志》2019年第5期599-600,共2页Journal of Clinical Orthopaedics

基　　金：宿迁市科技局指导性科技计划项目(编号:Z2018007)

摘　　要：目的探讨超声引导下弹性髓内钉固定治疗儿童股骨骨折的临床疗效。方法 对25例股骨骨折患儿在超声引导下采用闭合复位弹性髓内钉固定治疗。结果 患儿全部实现闭合复位内固定,无血管及神经损伤。25例均获得随访,时间6~15个月。骨折均骨性愈合,时间10~16周。无感染、畸形愈合、骨骺损伤等并发症。末次随访时根据Flynn评定标准评定疗效:优22例,良3例。结论 超声可动态观察儿童股骨骨折复位情况,减少创伤,减少透视次数,临床疗效满意。Objective To investigate the clinical effect of ultrasound-guided internal fixation with elastic intramedullary nails in the treatment of femoral fractures in children. Methods The 25 caes with femoral fractures were treated with ultrasound-guided elastic intramedullary nails. Results Closed reduction and internal fixation were achieved without vascular or nerve injury. All 25 cases were followed up for 6~15 months. Bony union was observed in all cases within 10~16 weeks. No complications such as infection, malunion, and epiphyseal injury existed.At the last follow-up, 22 cases were excellent and 3 cases good according to Flynn criteria. Conclusions Ultrasound can dynamically observe the reduction of femoral fracture in children, reduce trauma and fluoroscopy times. The clinical effect is satisfactory.

关 键 词：超声引导 弹性髓内钉固定 儿童 股骨骨折 

分 类 号：R683.42[医药卫生—骨科学] R687.33[医药卫生—外科学]