Clinical outcomes of elastic intramedullary nail fixation and external fixation for the treatment of pediatric femoral shaft fractures / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 146-148, 2011.
Article
in Zh
| WPRIM
| ID: wpr-344670
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To compare clinical outcomes of elastic intramedullary nail fixation and external fixator for the treatment of pediatric femoral shaft fractures.</p><p><b>METHODS</b>From Sep. 2002 to Aug. 2008, 67 pediatric patients with femoral shaft fractures were treated. Among them, 36 pediatric patients with femoral shaft fractures were treated with closed reduction and elastic intramedullary nail fixation including 23 males and 13 females with an average age of (7.1 +/- 1.6) years ranging from 5 to 11 years; while 31 patients were treated with closed reduction and external fixation including 19 males and 12 females with an average age of (6.5 +/- 2.3) years ranging from 3 to 12 years. All patients obtained closed reduction. The fracture healing time and postoperative complications were compared between these two groups.</p><p><b>RESULTS</b>All patients were followed up for 9 to 24 months, in averaged (12 +/- 3) months. The time of fracture healing and bone union in elasitic intramedullary nail group was shorter than that of external fixation group (P<0.05). There were 5 cases of infection,3 of delayed healing, 2 of refracture, and 1 of fixation failure in external fixation group, and there were 3 of soft tissue irritation in elastic intramedullary nail group.</p><p><b>CONCLUSION</b>Elastic intramedullary nail has some advantages for the treatment of pediatric femoral shaft fracture, while external fixation has some advantage in patients with multiple injury and open injury. The proximal and distal femoral fractures are not suitable for elastic intramedullary nail fixation.</p>
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Wounds and Injuries
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Bone Nails
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Retrospective Studies
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Follow-Up Studies
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External Fixators
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Treatment Outcome
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Elasticity
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Fractures, Bone
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Femur
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Child
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Child, preschool
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Female
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Humans
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Male
Language:
Zh
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2011
Type:
Article