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目的评价闭合复位经皮弹性髓内针治疗儿童股骨干骨折的临床效果,并分析并发症的发生原因。方法回顾性分析本院2006年3月至2010年8月经闭合复位弹性髓内针治疗的儿童股骨干骨折22例,其中男10例,女12例。进行规律随访并拍摄X线片观察骨折愈合情况。结果所有病例均获的随访,平均随访8.2个月。所有骨折均愈合,平均愈合时间为10.4周。参照Flynn提出的髓内针治疗骨折的评分标准:末次随访时优14例,良8例,优良率100%。结论闭合复位经皮弹性髓内针是治疗儿童股骨干骨折的一种有效方法,具有损伤小、不干扰骨折局部血运、不损伤骨骺、应力遮挡小、患肢功能恢复快及并发症少等优点。
Objective To evaluate the clinical effect of closed reduction and percutaneous elastic nail in the treatment of femoral shaft fractures in children and analyze the causes of complications. Methods A retrospective analysis of 22 patients with femoral shaft fractures in our hospital from March 2006 to August 2010 with closed reduction elastic nail was performed. There were 10 males and 12 females. Regular follow-up and filming X-ray observation of fracture healing. Results All patients were followed up for an average of 8.2 months. All fractures healed with an average healing time of 10.4 weeks. According to Flynn’s intramedullary nail treatment of fracture score: the last follow-up was excellent in 14 cases, good in 8 cases, excellent and good rate of 100%. Conclusion Closed reduction and percutaneous elastic nail is an effective method for the treatment of femoral shaft fractures in children. It has the advantages of less damage, no interruption of local blood supply, no damage to the epiphysis, less stress blockage, faster recovery of limb function and fewer complications advantage.