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目的 总结大龄儿童股骨干骨折内固定治疗经验。方法 30例上段或中上段 1/ 3骨折采用髓内针固定 ,48例中下 1/ 3及下段骨折采用钢板固定 ,4例大斜面及螺旋形骨折采用钢丝 +螺钉固定。结果 74例获 6个月～ 11年随访 ,无骨折延迟愈合及不愈合。 5 6例双下肢等长 ,18例患肢过度生长 ,关节功能、步态正常。并发症 :迟发感染 1例 ,再骨折 2例。结论 采用内固定复位满意 ,固定可靠 ,并发症少 ,是治疗大龄儿童股骨干骨折的理想方法之一。
Objective To summarize the experience of internal fixation of elderly femoral shaft fractures. Methods One-third of the 30 cases were fixed by intramedullary nailing, and the other 1/3 of 48 cases were fixed by plate fixation. Four cases of large bevel and spiral fracture were fixed by wire + screw. Results 74 cases were followed up for 6 months to 11 years without delayed union and nonunion. 56 cases of equal length of the lower extremities, 18 cases of limb overgrowth, joint function, normal gait. Complications: delayed infection in 1 case, and then fracture in 2 cases. Conclusion Satisfied with internal fixation, reliable fixation, less complications, is an ideal method for the treatment of elderly children with femoral shaft fractures.