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《国际骨科学杂志》[ISSN:1673-7083/CN:31-1952/R]

期数:

2019年04期

页码:

243-246

栏目:

临床研究

出版日期:

2019-08-09

文章信息/Info

Title:

Elastic intramedullary nailing of length-unstable pediatric femoral shaft fractures

作者:

罗义 王林 陈梦婕 马琪超 王隼 应灝 焦勤

200062, 上海市儿童医院骨科、上海交通大学附属儿童医院骨科

Author(s):

LUO Yi;  WANG Lin;  CHEN Mengjie;  MA Qichao;  WANG Sun;  YING Hao;  JIAO Qin

Department of Orthopedics, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai 200062, China

关键词:

股骨骨折;  儿童;  内固定;  预后

Keywords:

Femoral fractures;  Pediatrics;  Internal fixation;  Prognosis

分类号:

-

DOI:

10.3969/j.issn.1673-7083.2019.04.012

文献标识码:

-

摘要:

目的 研究弹性髓内钉内固定治疗儿童长度不稳定型股骨骨折的疗效。方法 回顾性分析2015年1月至2017年1月上海市儿童医院骨科收治的34例长度不稳定型股骨骨折(包括斜型或粉碎型儿童股骨骨折)患者的临床资料。依据不同的内固定方式将研究对象分为两组:髓内钉组(18例,接受弹性髓内钉治疗)、钢板组(16例,采取锁定加压钢板治疗)。记录手术时间、术中出血量、住院费用以及临床预后指标,包括骨折愈合时间、矢状位成角、冠状位成角、肢体不等长。结果 研究对象中男21例,女13例; 年龄(6.0±3.0)岁; 粉碎型骨折22例,长斜型骨折12例。根据Winquist粉碎型分度,Ⅰ度12例,Ⅱ度6例,Ⅲ度和Ⅳ度各2例。对于儿童不稳定型股骨骨折,钢板组的手术时间以及术中出血量均明显高于髓内钉组(P均<0.05)。其他的临床指标两组之间无明显差异。髓内钉组住院费用为(2.27±0.32)万元,明显低于钢板组[(4.59±2.62)万元](P=0.001)。结论 弹性髓内钉与锁定加压钢板治疗儿童不稳定型股骨骨折疗效相似,但手术时间更短、术中出血更少、费用更低。尽管两种置入物都可以用于儿童不稳定型股骨骨折,但本研究的结果更支持使用弹性髓内钉。

Abstract:

Objective We aimed to evaluate the efficacy and cost-effectiveness of elastic intramedullary nailing(EIN)of length-unstable pediatric femoral shaft fractures.Methods Thirty-four patients with length-unstable femoral shaft fractures(including comminuted fr

参考文献/References

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备注/Memo

备注/Memo:

通信作者: 焦勤 Email: jiaoq@shchildren.com.cn
Corresponding author: JIAO Qin E-mail: jiaoq@shchildren.com.cn

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更新日期/Last Update: 2019-08-09