钛弹性钉治疗学龄儿童股骨干骨折

M. R, Ateet P. Babli, Venkatesh Mulimani
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摘要

摘要简介:钛弹性钉用于治疗儿童股骨干骨折。这种方法是微创的,不会造成骨骺损伤或股骨头血液供应受损。目的:采用Flynn标准,评价钛弹性钉系统(TENS)手术治疗6-16岁年龄组股骨干骨折的效果。方法:本前瞻性临床研究于2018年11月至2020年11月期间进行。治疗30例,平均随访12个月。结果:最终结果优良21例,满意6例,不良3例。8名患者的肢体长度差异在0.5-2cm之间。5名患者有皮肤刺激,3名患者有角愈合不良,1名患者有持续疼痛和皮肤破裂。所有患者均无感染、旋转不愈合、延迟或不愈合。结论:钛弹性钉内固定是治疗6-16岁儿童股骨骨折的一种简单、易行、有效的方法。在这种治疗方法中,应仔细考虑患者的年龄和体重,以防止不良结果。
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Femur shaft fracture treatment in school-aged children using titanium elastic nails
Abstract INTRODUCTION: Titanium elastic nails are used to treat femur shaft fractures in paediatric patients. This method is minimally invasive and does not cause epiphyseal injury or impairment of femoral head blood supply. OBJECTIVES: The objective is to evaluate the results of operative treatment of femur shaft fractures in the age group between 6 and 16 years with titanium elastic nailing system (TENS), using Flynn’s criteria. METHODS: This prospective clinical study was conducted during the period from November 2018 to November 2020. Thirty cases were treated with mean follow up of 12 months. RESULTS: The final outcome was excellent in 21 cases, satisfactory in 6 cases and there were 3 poor outcome cases. Eight patients had limb length discrepancy varying from 0.5-2cm. Five patients had skin irritation, 3 patients had angular mal-union and 1 patient had persistent pain with skin breakdown. None of the patient had infection, rotational mal-union, delayed or non union. CONCLUSION: Titanium elastic nail fixation is a simple, easy and effective method for management of paediatric femur fracture between 6 and 16 years age. With this method of treatment, careful consideration to patient’s age and body weight should be given to prevent the poor result.
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