摘要
目的评价Ender钉髓内固定治疗小儿下肢长干骨骨折的疗效。方法自2003年2月至今我院采用Ender钉治疗小儿下肢骨折40例。男31例，女9例，年龄3．8～15岁（平均7．8岁）。股骨分离骨折33例（中1／3骨折22例、远1／3骨折3例，近1／3骨折8例），胫腓骨双骨折7例，4例是开放性损伤。术后所有病例均进行了平均13．5个月（2-23个月）的随访。28例得到了1年以上的随访，将继续观察肢体长短的问题。临床上观察了患儿的髋膝关节活动以及步态情况。结果所有病例骨折处均获得Ⅰ期愈合。有5例在骨折断端有前后或侧位片上不超过6。成角。39例术后髋膝关节活动正常，1例膝关节屈曲受限。本组病例术后无感染、骨不连、Ender钉折断、骨骺损伤等并发症。现已有18例术后半年行内固定取出并在继续随访中。结论弹性Ender钉髓内固定治疗儿童闭合复位困难的股骨骨折和粉碎性胫骨骨折有效，适用于4～15岁儿童股骨干骨折、胫骨骨折。具有手术切口小、软组织损伤少、不破坏骨膜、手术时间短、不需输血、并发症少等特点。
Objective To evaluate the results of imramedullary stabilization of lower limb fractures with elastie Ender nails in ehildren. Methods Forty ehildren （31 boys and 9 girls, aged from 3. 8 to 15 years （mean, 7. 8 years）） were stabilized with flexible intramedullary Ender nails placed by the retrograde technique in this institute. Thirty-three suffered from isolated fractures occurring at the proximal （n= 8）, middle （n= 22） and distal （n= 3） femur, and the other 7 patients with the tibial and fibular fractures. Among them, there were 4 patients with open fractures. All patients were followed up with an average of 13. 5 months （ranged from 2 to 23 months）. Among them, 28 patients were followed up more than 1 year. The motion ranges of the hip and the knee and the patterns of gait were evaluated in these patients. Results Union was achieved in all patients. There were 5 patients with a less than 60 angular deformity. All children but one had a normal motion range of the hip and the knee No delayed tmion, infection, nonunion, rod fractures, injury to the femoral or tibial epiphysis, or refracture after rod removal was noted in these patients. Conclusions Intramedullary stabilization with elastic Ender nails can get the effective fixation in the treatment of lower limb fractures in children.
出处
《中华小儿外科杂志》
CSCD
北大核心
2006年第3期140-143,共4页
Chinese Journal of Pediatric Surgery
关键词
内固定器
骨折固定术
髓内
Internal fixators
Fraeture fixation, intramedullary
