论文部分内容阅读
目的探讨钛制弹性髓内钉(TEIN)内固定治疗儿童股骨干骨折的手术方法与疗效。方法采用闭合复位、TEIN固定治疗股骨干骨折39例。结果所有患者均获得随访,骨折愈合时间为2～5个月(平均3.4个月),无感染及畸形愈合。术后患肢过度生长3例,钉尾皮肤软组织刺激2例。结论 TEIN应作为儿童股骨干移位骨折的首选手术方法,其具有创伤小、不干扰骨骺生长、骨折愈合快、功能恢复好等优点,但仍需择期取出内固定是其固有不足。
Objective To investigate the surgical methods and efficacy of titanium elastic intramedullary nailing (TEIN) internal fixation for treatment of femoral shaft fractures in children. Methods closed reduction, TEIN fixed treatment of femoral shaft fractures in 39 cases. Results All the patients were followed up. The fracture healing time was 2 to 5 months (mean 3.4 months), with no infection and malunion. Postoperative limb overgrowth in 3 cases, nail tail skin and soft tissue stimulation in 2 cases. Conclusion TEIN should be the first choice of surgical treatment for displaced femoral shaft fractures in children. It has the advantages of less trauma, not interfering with epiphyseal growth, faster fracture healing and better functional recovery.