刘朝宇 1张建强 1徐文强 1范永飞 1马秀林 1刘其鑫 1王伟1
作者信息
- 1. 安徽医科大学附属阜阳人民医院小儿骨科,阜阳 236000
- 折叠
摘要
Abstract
Objective To explore the early efficacy and surgical essentials of closed reduction intramed-ullary nail fixation assisted by Steinmann pin for adolescent femoral shaft fractures.Methods From June 2018 to September 2021,the relevant clinical data were retrospectively reviewed for 31 adolescents undergoing intr-amedullary nail fixation for femoral shaft fractures via a lateral recumbent position with Steinmann pin.There were 18 boys and 13 girls with an average age of(13.5±2.1)year,an average weight of(60.2±6.5)kg and an average time from injury to surgery of(4.4±1.8)day.The affected side was left(n=20)and right(n=11).Statistical analysis was performed for surgical duration,hospitalization stay,hemorrhagic volume,lower ex-tremity length at the last follow-up,articulotrochanteric distance(ATD),widest femoral neck diameter(FND)and neck shaft angle.Results Closed repositioning of femoral intramedullary nail fixation was assisted by a lateral recumbent Steinman pin.Average operative duration was(67.9±20.4)min and average volume of intr-aoperative hemorrhage(124.4±34.8)mL.At the last follow-up,hip function was evaluated according to the Harris function score.The excellent rate was up to 100％.The average follow-up period was(22.8±5.2)(15-37)month.At the last follow-up,length of lower extremities and healthy side,ATD,FND,cervical stem angle and hip function score were(84.2±5.1)cm,(84.1±5.2)cm;(30.3±1.4)°,(31.1±1.3)°;(27.7± 1.9)°,(27.4±1.4)°;(132.0±2.9)°,(131.7±2.7)°;(95.7±2.0)points,(96.1±1.4)points respec-tively at affected and healthy sides.There were no statistically significant differences(P＞0.05).At the last follow-up,there was no occurrence of infection,ischemic necrosis of femoral head,proximal femoral deformity,delayed healing,non-healing of fracture,functional impairment,re-fracture or loosening of internal fixation.Conclusions Treating adolescent femoral shaft fractures with closed reduction intramedullary nail fixation assis-ted by a lateral recumbent Steinman pin may achieve an excellent reduction with a definite therapeutic efficacy.关键词
股骨骨折/骨折固定术,髓内/治疗结果/青少年Key words
Femoral Fractures/Fracture Fixation,Intramedullary/Treatment Outcome/Adolescent
