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目的:探讨弹性髓内钉治疗儿童股骨干骨折疗效。方法:对32例股骨干闭合性骨折患儿行弹性髓内钉治疗。结果:随访6~30个月(平均14个月)。术后6~12个月拔除髓内钉,未发生明显肢体短缩及过度生长、感染、骨不连、畸形愈合、断钉及临近关节功能障碍。结论:弹性髓内钉交叉固定技术具有切口小、创伤小、操作方便、固定可靠、骨折愈合快、并发症少、拔钉简单、住院时间短等优点,适用于小儿长管状骨尤其是股骨骨折的内固定。
Objective: To investigate the effect of elastic intramedullary nail in the treatment of femoral shaft fracture in children. Methods: 32 cases of closed fractures of femoral shaft were treated with elastic intramedullary nails. Results: Patients were followed up for 6 to 30 months (mean 14 months). 6 to 12 months after the removal of intramedullary nail, no significant shortening and over limb growth, infection, nonunion, malunion, broken nails and adjacent joint dysfunction. Conclusion: Cross-fixation with flexible intramedullary nail has the advantages of small incision, less trauma, convenient operation, reliable fixation, faster fracture healing, fewer complications, simple nail pulling, shorter hospital stay, etc. It is suitable for infantile long tubular bone especially femoral fracture Internal fixation.