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目的：报告６１例小儿股骨干骨折早期愈合时有不同程度成角、短缩、旋转畸形．并就患儿整复情况与自然塑形能力之间的关系进行探讨．方法：骨折整复采用牵引复位加小夹板或石膏外固定．结果：本组病例中，特别是婴幼儿中发现，虽然骨折早期愈合时未达到儿童股骨干骨折普遍认同的整复标准，特别还存在旋转畸形，日后随诊发现仍可获得解剖上的复位和功能恢复．结论：儿童股骨干骨折整复标准应随年龄不同而异，年龄越小，自身塑形能力越强，治疗标准也相应降低，据此提出不同年龄段的整复标准。
OBJECTIVE: To report 61 cases of pediatric femoral shaft fractures with varying degrees of angulation, shortening and rotational deformity during early healing. And to discuss the relationship between the recovery of children and the natural ability to shape. Methods: Fracture repair using traction reduction plus small splint or plaster external fixation. Results: In this group of patients, especially in infants and toddlers, it was found that although the early fracture healing did not reach the standard of rehabilitation generally accepted by children with femoral shaft fractures, especially rotational deformity, anatomical reduction and Function recovery. CONCLUSIONS: The standard of revision of children’s femoral shaft fractures should be different with different ages. The younger the patients, the stronger their self-shaping ability is and the lower the standard of treatment. Therefore, the standard of rehabilitation for different age groups is proposed.