单侧多功能外固定器治疗76例学龄前儿童股骨干骨折疗效分析

摘要

目的 比较学龄前儿童股骨干骨折单侧多功能外固定器治疗与骨牵引治疗的疗效,探讨单侧多功能外固定器在年幼儿童股骨干骨折治疗中的应用价值.方法 回顾性分析2009年1月至2013年1月本院收治的76例幼儿股骨干骨折临床资料,其中男性43例,女性33例,年龄1.1～4.3岁,平均2.4岁.40例行外固定器治疗,36例行骨牵引及石膏固定术,术后随访时间3～36个月(平均15个月),观察骨折愈合与并发症情况.结果 两组骨折全部愈合,所有病例术后2～3周均出现骨痂,4～5周后骨痂生长良好.术后8～10周均达到临床愈合标准,无延迟或不愈合,无严重并发症发生.结论 单侧多功能外固定器固定术是治疗学龄前儿童股骨干骨折的可选择方法之一,能有效减少医院感染,减少并发症.%Objective To explore the application of unilateral multifunctional external fixator versus skeletal traction in the treatment of femoral shaft fractures in preschool children.Methods From January 2009 to January 2013,76 cases of femoral shaft fractures were analyzed.There were 43 boys and 33 girls with a mean age of 2.4 (1.1 ～ 4.3) years.External fixator treatment was applied for 40 patients while another 36 underwent skeletal traction plus spica cast immobilization.The average follow-up period was 15 (3 ～36) months.Fracture healing and complications were observed.Results All fractures were healed.Porosis occurred at Weeks 2 ～ 3 post-operation.At Weeks 4 ～ 5,callus grew well.Fracture healing condition reached clinical criterion at Weeks 8 ～ 10 post-operation.There was no occurrence of delayed union,non-union of fracture or other serious complications.Conclusion Unilateral multifunctional external fixation is one of the alternative treatments for femoral fractures in preschool children.It can effectively reduce the incidence of nosocomial infections and lower the occurrence of fracture complications.