摘要
目的:探讨屈髋屈膝位皮肤牵引在小年龄段儿童股骨近端骨折治疗中的应用疗效。方法:屈髋屈膝位皮肤牵引,结合患肢大腿夹板固定治疗小年龄段儿童股骨近端骨折18例。牵引2~3周,X线片见端有明显骨痂生长后,拆除皮牵引,均改用单髋人字支具固定2~4周。结果:18例均获随访,平均随访时间6个月(1.5~18个月)。骨折都获得一期良好愈合,愈合时间约为6~8周。无皮肤压疮、过敏和水疱等发生,无肢端血运障碍。18例患儿均无髋内翻畸形,无短缩、无过度生长,无跛行。优良率均为100%。结论:屈髋屈膝位皮肤牵引,结合患肢大腿夹板固定治疗小年龄段儿童股骨近端骨折简单有效、并发症少、护理方便,经济性好,值得临床应用推广。
Objective: To investigate the effect of skin traction in hip and knee flexion position on proximal femoral fracture in young children. Methods: 18 cases were treated by skin traction in hip and knee flexion position plus splint fixation of affected limbs and thighs. After 2~3 weeks of traction, X-ray films showed obvious callus growth at the end. Skin traction was removed and fixed with single hip herringbone brace for 2~4 weeks. Results: 18 cases were followed up for an average of 6 months (1.5~18 months), and were healed well in one stage, with 6~8 weeks of the healing time. There were no skin pressure sores, allergies and blisters and disorders of blood supply at the extremities. There was no coxa varus deformity, no shortening or excessive growth, limp in all 18 cases. The excellent rate was 100%. Conclusion: The skin traction in hip and knee flexion position plus thigh splint fixation on proximal femoral fracture in young children show a simple effect, with less complications, convenient nursing and economic, which is worthy of clinical application and promotion.
出处
《中医临床研究》
2019年第14期101-103,共3页
Clinical Journal Of Chinese Medicine
关键词
皮肤牵引
儿童
股骨近端骨折
屈髋屈膝位
Skin traction
Children
Proximal femoral fracture
Hip and knee flexion
