| 外固定支架结合有限内固定治疗儿童股骨远端骨折 |
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Received:December 29, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 韦盛旺 |
WEI Sheng-wang |
柳州市工人医院创伤骨科, 广西 柳州 545005 |
Department of Orthopaedics, Liuzhou Workers Hospital, Liuzhou 545005, Guangxi, China |
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| 石展英 |
SHI Zhan-ying |
柳州市工人医院创伤骨科, 广西 柳州 545005 |
Department of Orthopaedics, Liuzhou Workers Hospital, Liuzhou 545005, Guangxi, China |
shiwangthree@163.com |
| 胡居正 |
HU Ju-zheng |
柳州市工人医院创伤骨科, 广西 柳州 545005 |
Department of Orthopaedics, Liuzhou Workers Hospital, Liuzhou 545005, Guangxi, China |
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| 吴昊 |
WU Hao |
柳州市工人医院创伤骨科, 广西 柳州 545005 |
Department of Orthopaedics, Liuzhou Workers Hospital, Liuzhou 545005, Guangxi, China |
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| 期刊信息：《中国骨伤》2016年29卷，第3期，第275-278页 |
| DOI：10.3969/j.issn.1003-0034.2016.03.016 |
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| 目的:探讨外固定支架结合有限内固定治疗儿童股骨远端骨折的临床疗效。 方法:自2008年1月至2014年6月,采用外固定支架结合有限内固定法治疗儿童股骨远端骨折17例,其中男12例,女5例;年龄6～13岁,平均10.2岁;病程1 h～2 d.所有患儿经X线片确诊,股骨髁上骨折11例,髁间粉碎性骨折6例。按AO/ASIF 分型;A1型9例,A2型5例,C1型3例。观察并记录患者术中及术后并发症、术后放射学检查、下肢长度及膝关节活动度,并采用KSS膝关节功能评分对膝关节功能进行评分。 结果:17例患者均获随访,时间6～38个月,平均24.4个月。术后均无神经血管损伤表现,出现外固定针松动1例,针道感染2例,双侧肢体不等长3例。膝关节活动度及长度测量(与健侧对比):平均屈曲受限10°(0°～20°),平均伸直受限4°(0°～10°),平均内/外翻3°(0°～5°).末次随访时膝关节功能KSS临床评分为96.4±5.0;优16例,良1例。X线片显示所有骨折愈合,未发现骨骺早闭现象。结论:采用外固定支架结合有限内固定方法治疗儿童股骨远端骨折,具有手术操作简单、固定牢固、早期功能锻炼等优点。 |
| [关键词]:股骨骨折 儿童 骨折固定术 |
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| Treatment of pediatric distal femur fractures by external fixator combined with limited internal fixation |
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| Abstract:Objective:To discuss the clinical effects of external fixator combined with limited internal fixation in the treatment of pediatric distal femur fractures. Methods:From January 2008 to June 2014, 17 children of distal femur fractures were treated by external fixator combined with limited internal fixation. There were 12 males and 5 females, aged from 6 to 13 years old with an average of 10.2 years, ranged in the course of disease from 1 h to 2 d. Preoperative diagnoses were confirmed by X-ray films in all children. There were 11 patients with supracondylar fracture, and 6 patients with intercondylar comminuted fracture. According to AO/ASIF classification, 9 fractures were type A1, 5 cases were type A2, and 3 cases were type C1. The intraoperative and postoperative complications, postoperative radiological examination, lower limbs length and motion of knee joints were observed. Knee joint function was assessed by KSS score. Results:All the patients were followed up from 6 to 38 months with an average of 24.4 months. No nerve or blood vessel injury was found. One case complicated with the external fixation loosening, 2 cases with the infection of pin hole and 3 cases with the leg length discrepancy. Knee joint mobility and length measurement (compared with the contralateral), the average limited inflexion was 10° (0° to 20 °), the average limited straight was 4° (0° to 10 °), the average varus or valgus angle was 3° (0° to 5 °). KSS of the injured side was (96.4±5.0) points at final follow-up, 16 cases got excellent results and 1 good. All fractures obtained healing and no epiphyseal closed early was found. Conclusion:External fixator combined with limited internal fixation has advantages of simple operation, reliable fixation, early functional exercise in treating pediatric distal femurs fractures. |
| KEYWORDS:Femoral fractures Child Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 韦盛旺,石展英,胡居正,吴昊.外固定支架结合有限内固定治疗儿童股骨远端骨折[J].中国骨伤,2016,29(3):275~278 |
| 英文格式: | WEI Sheng-wang,SHI Zhan-ying,HU Ju-zheng,WU Hao.Treatment of pediatric distal femur fractures by external fixator combined with limited internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(3):275~278 |
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