弹性髓内钉与钢板固定儿童转子下骨折的疗效比较

摘要

目的 比较弹性髓内钉与加压钢板治疗儿童股骨转子下骨折的临床疗效.方法 收集2004年3月至2007年10月我院收治的儿童股骨转子下骨折42 例,其中采用弹性髓内钉治疗23 例,加压钢板治疗19 例,比较两组患者手术时间、术中出血量、住院时间、术后引流量、术后并发症及髋关节功能Sanders评分.结果 所有患儿骨折均临床愈合,两种方法在手术时间、出血量、住院时间及术后引流量方面差别有统计学意义(P＜0.05),术后并发症和髋关节功能Sanders评分差异无统计学意义(P＞0.05).结论 弹性髓内钉治疗儿童股骨转子下骨折的疗效优于加压钢板,是一种安全、微创、疗效良好的手术方法.%Objective To compare the clinical outcomes of Titanium Elastic Nails (TENs) and compression plate methods in treating femoral subtrochanteric fracture in Children.Methods Forty-two children with femoral subtrochanteric fracture from March 2004 to October 2007 were treated by TENs (23 cases) and compression plates (19 cases) respectively,then we compared the operation time,inhospital time,blood loss,drainage,postoperarive complications and Sanders scores.Results All children showed clinical cure.Two groups had statistical differences in operation,in-hospital time,blood loss and drainage(P＜0.05),but had no statistical differences in postoperarive complications or Sanders scores (P＞0.05).Conclusion TENs method is secure,minimally invasive and effective in treating femoral subtrochanteric fracture in Children,and TEN methods provided better clinical outcomes than compression plate methods.