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目的探讨闭合复位经皮钛制弹性髓内钉固定治疗儿童股骨粗隆下骨折的临床疗效。方法回顾性分析我院2010年9月~2013年1月26例患儿采用闭合复位经皮弹性髓内钉固定治疗儿童股骨粗隆下骨折的临床资料,其中男18例,女8例,年龄4~13岁,平均8岁。结果本组26例均得到随访,时间24~48个月,伤口均未发生感染,1例患儿出现皮肤激惹,骨折处均获得骨性愈合,2例发生轻度髋内翻,无一例发生股骨头坏死及骨骺早闭,无一例发生行走跛行。远期随访髋关节功能按Sanders标准:优21例,良3例,优良率92.3%;其余2例因拒绝使用外固定并过早活动导致预后稍差。结论闭合复位经皮钛制弹性髓内钉治疗儿童股骨粗隆下骨折优点突出、疗效肯定,值得推广应用。
Objective To investigate the clinical effect of closed reduction and percutaneous titanium elastic nail in the treatment of subtrochanteric fractures of children. Methods A retrospective analysis of 26 cases of children with closed reduction percutaneous elastic nail in the treatment of children with intertrochanteric fracture clinical data from September 2010 to January 2013 in our hospital, including 18 males and 8 females, age 4 ~ 13 years old, average 8 years old. Results The group of 26 patients were followed up for 24 to 48 months, no wounds were infected, one case of skin irritation occurred in patients with bony union at the fracture site, mild hip varus in 2 cases and no case Occurrence of femoral head necrosis and epiphyseal early closure, no case of walking limp. Long-term follow-up of hip function according to Sanders standard: excellent in 21 cases, good in 3 cases, excellent and good rate was 92.3%; the remaining 2 cases due to refusal to use external fixation and premature activity led to a slightly worse prognosis. Conclusion Closed reduction and reduction of percutaneous titanium elastic intramedullary nail in the treatment of children with subtrochanteric femur superiority, efficacy is positive, it is worth promoting.