临床小儿外科杂志2017，Vol.16Issue(4)：376-380,5.DOI:10.3969/j.issn.1671-6353.2017.04.015
单侧多功能外固定器治疗76例学龄前儿童股骨干骨折疗效分析
Treatment of femoral shaft fractures in preschool children with unilateral multifunctional external fixator
摘要
Abstract
Objective To explore the application of unilateral multifunctional external fixator versus skeletal traction in the treatment of femoral shaft fractures in preschool children.Methods From January 2009 to January 2013,76 cases of femoral shaft fractures were analyzed.There were 43 boys and 33 girls with a mean age of 2.4 (1.1 ～ 4.3) years.External fixator treatment was applied for 40 patients while another 36 underwent skeletal traction plus spica cast immobilization.The average follow-up period was 15 (3 ～36) months.Fracture healing and complications were observed.Results All fractures were healed.Porosis occurred at Weeks 2 ～ 3 post-operation.At Weeks 4 ～ 5,callus grew well.Fracture healing condition reached clinical criterion at Weeks 8 ～ 10 post-operation.There was no occurrence of delayed union,non-union of fracture or other serious complications.Conclusion Unilateral multifunctional external fixation is one of the alternative treatments for femoral fractures in preschool children.It can effectively reduce the incidence of nosocomial infections and lower the occurrence of fracture complications.关键词
股骨/外固定器/骨牵引/儿童,学龄前/交叉感染Key words
Femur/External Fixators/Skeletal Traction/Child, Preschool/Cross Infection引用本文复制引用
周治国,陈小亮,李俊,吴及,张平,沈先涛..单侧多功能外固定器治疗76例学龄前儿童股骨干骨折疗效分析[J].临床小儿外科杂志,2017,16(4):376-380,5.基金项目
武汉市卫生计生科研基金资助(项目号:WX17D17) （项目号:WX17D17）
