临床小儿外科杂志2018，Vol.17Issue(2)：117-121,5.DOI:10.3969/j.issn.1671-6353.2018.02.008
应用单臂多功能外固定器治疗儿童病理性骨折
Application of unilateral multifunctional external fixator for treatment of pathological fracture in chil-dren
文玉伟 1王强 1宋宝健 1冯伟 1朱丹江1
作者信息
- 1. 首都医科大学附属北京儿童医院骨科 北京市,100045
- 折叠
摘要
Abstract
Objective Explore the effectiveness and advantages of unilateral multifunctional external fix -ator for treatment of pathological fracture in children. Methods A retrospective review was conducted for 18 children with pathological fracture between January 2012 and December 2015 at our hospital.Unilateral exter-nal fixators combined with excochleation were used to treat tumor-induced pathological fractures and tumor like lesions,the others was treated with unilateral external fixator alone.Radiographic assessment was performed on the scheduled follow-up to examine bone fracture reduction and lesion healing.The clinical outcomes were eval-uated using the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,ankle,etc.and patients'sat-isfaction report at the final follow-up.Results All patients had a mean follow-up period of 21.9 months after surgery.All patients(Including one cases of iatrogenic fracture during the operation)healed completely at 4 to 7 months after operation(mean,4.5 months).Pin-related infection occurred in one case,no nonunion and mal-union were reported.According to the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,an-kle,etc.curative effects are all excellent.Patients'satisfactions degree are one hundred percent.Conclusion Unilateral multifunctional external fixator combined with excochleation or not combined with excochleation can be as an effective method to treat pathological fracture in children.关键词
骨折,自发性/外固定架/治疗/儿童Key words
Fractures/Spontaneous/External Fixators/Therapy/Child引用本文复制引用
文玉伟,王强,宋宝健,冯伟,朱丹江..应用单臂多功能外固定器治疗儿童病理性骨折[J].临床小儿外科杂志,2018,17(2):117-121,5.
