弹性髓内钉内固定辅助外固定架治疗不稳定儿童股骨骨折:一个病例系列

IF 0.2 Q4 ORTHOPEDICS Techniques in Orthopaedics Pub Date : 2021-10-21 DOI:10.1097/BTO.0000000000000573
Brooke Hayashi, J. Shahbazian, Kerry Loveland, J. Gerardi
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引用次数: 0

摘要

导读:弹性髓内钉固定(FIN)已成为小学生股骨骨折的首选治疗方式。FIN的一个明显限制是无法控制长度不稳定的股骨骨折。本病例系列评估了一种新型FIN和辅助外固定技术治疗长度不稳定股骨骨折的x线愈合率、骨折对齐和术后并发症。材料和方法:使用现行的程序术语编码进行回顾性图表回顾,以确定10例儿童股骨骨折,使用柔性钉固定和补充外固定治疗长度不稳定的股骨骨折。使用电子病历获取人口统计信息和手术时间。使用图像存档和通信系统对x线照片进行审查。结果:10例小儿股骨长度不稳定型骨折采用FIN联合外固定治疗。伤时平均年龄6.4岁(范围3 ~ 8岁)。外固定平均持续时间为30天,无针部并发症,包括感染或再骨折。平均愈合时间为54天,无影像学复位损失。无术中或术后并发症记录。结论:本研究回顾的病例支持,对于不稳定的儿童股骨骨折,除了FIN固定外,补充外固定架是一种可行的选择,所有骨折均可愈合,可接受的对齐,无复位损失,无术后并发症。这项技术可能为骨科医院提供另一种工具,并可能作为肌下钢板的替代方法。
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Flexible Intramedullary Nail Fixation With Supplemental External Fixator for Unstable Pediatric Femur Fractures: A Case Series
Introduction: Flexible intramedullary nail fixation (FIN) has become the preferred mode of treatment for femur fractures in elementary school aged children. One clear limitation of FIN is the inability to control length unstable femur fractures. This case series evaluates radiographic union rates, fracture alignment, and postoperative complications for a novel technique of FIN and adjunct external fixation in length unstable femur fractures. Materials and Methods: A retrospective chart review was performed using current procedural terminology coding to identify 10 pediatric femur fractures utilizing flexible nail fixation with supplemental external fixation in length unstable femur fractures. Electronic medical records were used to obtain demographic information and length of operative time. A picture archiving and communication system was utilized to review radiographs. Results: Combined FIN fixation and supplemental external fixation were used in ten pediatric patients with length unstable femur fractures. The average age at time of injury was 6.4 years (range: 3 to 8 years). The average duration of external fixation was 30 days with no pin site complications including infection or refracture. Average time to union was 54 days with no radiographic loss of reduction. There were no documented intraoperative or postoperative complications. Conclusions: The cases reviewed in this study support that in addition to FIN fixation for unstable pediatric femur fractures, a supplemental external fixator provides a viable option with all fractures obtaining union, acceptable alignment, no loss of reduction, and no postoperative complications. This technique may provide another tool in the orthopedist armamentarium and possibly as an alternative to submuscular plating.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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