摘要
目的:回顾性研究桥式钢丝夹板外固定治疗小儿股骨干骨折的临床疗效,并与传统Bryant牵引的疗效进行比较。方法:2006年6月至2009年6月收治的小儿股骨干骨折38例,采用桥式钢丝夹板外固定及Bryant牵引两种方法治疗。桥式钢丝夹板组21例中男15例,女6例;年龄8个月～5.3岁,平均(2.3±0.6)岁;按骨折部位分类,股骨上1/3骨折5例,中1/3骨折9例,下1/3骨折7例。Bryant牵引组中男10例,女7例;年龄10个月～3.2岁,平均(2.2±0.4)岁;按骨折部位分类,股骨上1/3骨折4例,中1/3骨折10例,下1/3骨折3例。对两组临床功能、X线愈合时间、负重时间及并发症等进行比较。结果:桥式钢丝夹板组与Bryant牵引组骨折平均愈合时间分别为(6.0±0.3)、(6.2±0.4)周,负重时间分别为(6.1±1.0)、(6.4±1.2)周,两组比较差异无统计学意义。桥式钢丝夹板组软组织并发症3例,Bryant牵引组13例,两组比较差异有统计学意义。根据临床疗效标准,桥式钢丝夹板组优17例,良3例,可1例,Bryant牵引组优12例,良4例,可1例;两组疗效比较差异无统计学意义。结论:桥式钢丝夹板外固定及传统Bryant牵引治疗小儿股骨干骨折均能获得较为理想的疗效,与Bryant牵引相比,桥式钢丝夹板外固定具有操作简单、护理方便、疗效安全可靠等优点。
Objective：To compare clinical effects between bridge wire splint fixation and traditional Bryant traction for the treatment of femoral shaft fractures in children.Methods：From June 2006 to June 2009,38 children with femoral shaft fractures were treated with bridge wire splint fixation and Bryant traction.In bridge wire splint group,there were 15 males and 6 females,ranging in age from 8 months to 5.3 years,with an average of （2.3±0.6） years.According to fracture site classification,5 patients were upper 1/3 femoral fractures,9 patients were middle 1/3 femoral fractures,and 7 patients were lower 1/3 femoral fractures.In Bryant traction group,there were 10 males and 7 females,ranging in age from 10 months to 3.2 years,with an average of（2.2±0.4）years.According to fracture site classification,4 cases were upper 1/3 femoral fractures,10 patients were middle 1/3 femoral fractures,3 patients were lower 1/3 femoral fractures.The clinical features,X-ray healing time,weight-bearing time and complications of the two groups were compared.Results：Comparison of fracture healing time：bridge wire splint group was（6.0±0.3） weeks and Bryant traction group was（6.2±0.4） weeks;the time of weight-bearing in bridge wire splint group was （6.1±1.0） weeks and in Bryant traction group was （6.4±1.2） weeks;there was no significant difference between two groups.There was a significant difference in soft tissue complication between bridge wire splint group occurred in 3 cases and 13 cases in Bryant traction group.According to the criteria of clinical efficacy,in Bryant traction group,12 patients got an excellent result,4 good and 1 fair;in bridge wire splint group,the data were 17,3 and 1 respectively,and there was no significant difference between the two groups.Conclusion：Both of bridge wire splint fixation and traditional Bryant traction for the treatment of femoral shaft fractures in children have good efficacy.Compared with Bryant traction,bridge wire splint fixation is simple,safe and has reliable effect.
出处
《中国骨伤》
CAS
2011年第3期236-239,共4页
China Journal of Orthopaedics and Traumatology
关键词
股骨骨折
外固定器
牵引术
儿童
病例对照研究
Femoral fractures
External fixators
Traction
Child
Case-control studies
