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柔性复位固定器治疗小儿股骨干骨折的临床研究
Hits: 2150   Download times: 1206   Received:September 08, 1999  Revised:September 01, 2000  
作者Author单位UnitE-Mail
王君 WANG Jun 文登整骨医院,山东文登264400 Wendeng Orthopedic Hospital Shandong Wendeng,264400  
马树杭 MA Shu hang 文登整骨医院,山东文登264400 Wendeng Orthopedic Hospital Shandong Wendeng,264400  
初仁珠 CHU Ren zhu 文登整骨医院,山东文登264400 Wendeng Orthopedic Hospital Shandong Wendeng,264400  
毕静芝 文登整骨医院,山东文登264400 Wendeng Orthopedic Hospital Shandong Wendeng,264400  
期刊信息:《中国骨伤》2001年14卷,第10期,第590-591页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:研究治疗小儿股骨干骨折,尤其是上1/3骨折,复位后稳定性差,易造成前外成角而畸形愈合的有效方法。

方法:治疗组168例采用自制柔性复位固定器,通过滑动压板的持续压力,对抗髂腰肌、臀肌、内收肌等造成不稳定及成角趋势。对照组50例采用传统的骨牵引结合手法复位小夹板外固定术。

结果:参照Ogden标准,治疗组168例中优136例,可29例,差3例。对照组50例中优23例,可16例,差11例,差异有显着性。

结论:柔性复位固定器治疗小儿股骨干骨折,尤其是上1/3骨折,防止前外成角畸形效果理想。
[关键词]:股骨骨折  骨折固定术  牵引术
 
Clinical study of flexible reduction fixation apparatus for the treatment of fracture of the femoral shaft in infants
Abstract:

Objective:To find out an effective method for the treatment of femoral shaft fracture in the infants.These fractures unstable after closed reduction and are easilly to have anterior lateral angulation deformity

Methods: 168 cases were treated with flexible reduction fixation apparatus,and through the constant pressure of slide clamp to countereact the unstablility and tendency of angulation caused by iliopsoas,gluteal and adductor muscles were checked.50 cases in control group were treated with traditional traction and splint immobilization.

Results:In accordance with Ogden standard,the results were 136 in good,poor in 29 and 3 fair in treatment group.Of 50 cases in control group,23 good,16 poor and 11 fair.There were significant difference between them.

Conclusion:Flexible reduction fixator should be recommended for the treatment of infantile femoral shaft fracture espically on 1/3 part to prevent anterior lateral angulation.
KEYWORDS:Femoral  fractures  Fracture  fixation  Traction
 
引用本文,请按以下格式著录参考文献:
中文格式:王君,马树杭,初仁珠,毕静芝.柔性复位固定器治疗小儿股骨干骨折的临床研究[J].中国骨伤,2001,14(10):590~591
英文格式:WANG Jun,MA Shu hang,CHU Ren zhu.Clinical study of flexible reduction fixation apparatus for the treatment of fracture of the femoral shaft in infants[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(10):590~591
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