儿童股骨干骨折治疗技术进展  

Progress in treatment techniques for femoral shaft fractures in children

作　　者：孙鸿朔 张治博 李朋[1] 杜刚强[1] 姜建浩 杨淑野[1] Sun Hongshuo;Zhang Zhibo;Li Peng;Du Gangqiang;Jiang Jianhao;Yang Shuye(Department of Orthopaedic Trauma,Binzhou Medical University Hospital,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院创伤骨科,滨州256603

出　　处：《国际医药卫生导报》2024年第2期177-181,共5页International Medicine and Health Guidance News

基　　金：山东省自然科学基金青年项目(ZR2020QH071);滨州市总工会杨淑野劳模工匠创新工作室项目;山东省医务职工科技创新计划项目;山东省医药卫生科技发展计划项目(202004070551);滨州医学院科研计划与科研启动基金(BY2016KYQD19)。

摘　　要：儿童股骨干骨折是儿童中常见的骨折类型,占全部儿童骨折的1.4%~1.7%。需要根据患儿的年龄、体质量、骨折类型、受伤方式等选择最佳的治疗方式。一般来说,学龄前儿童采用非侵入性固定治疗(如Pavlik吊带、髋人字石膏),学龄儿童采用内固定治疗,内固定治疗方案包括钢板、弹性髓内钉、锁定髓内钉。外固定治疗则通常只适用于复杂创伤等特殊情况。本文就儿童股骨干骨折的各种治疗技术研究进展进行综述。Femoral shaft fractures during childhood are a frequent type of fractures,comprising 1.4%-1.7%of all childhood fractures.The children's age,weight,type of fractures,and mode of injuries all need to be taken into consideration when deciding on the best treatment.Generally,non-invasive fixation methods,such as Pavlik sling or hip herringbone cast,are used for preschool children,while internal fixation methods,such as plates,flexible intramedullary nails,and locked intramedullary nails,are preferred for school-age children.External fixation,on the other hand,is typically reserved for special cases,such as complex trauma.This article reviews the progress of research on treatment techniques for childhood femoral shaft fractures,including conservative treatment,external fixation,and closed reduction.

关 键 词：股骨干骨折 儿童 保守治疗 外固定 闭合复位 进展 

分 类 号：R726.8[医药卫生—儿科]