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Application of elastic intramedullary nail in treating bilateral femoral shaft fractures in children / 中国骨伤
China Journal of Orthopaedics and Traumatology ; (12): 621-623, 2010.
Artículo en Chino | WPRIM | ID: wpr-332886
ABSTRACT
<p><b>OBJECTIVE</b>To explore the curative effects and complications of elastic intramedullary nail in treating children's bilateral femoral shaft fractures.</p><p><b>METHODS</b>Form February 2005 to March 2008, 7 patients with bilateral femoral shaft fractures were treated by closed reduction and internal fixation with elastic intramedullary nail. There were 5 males and 2 females. The age ranged from 3 to 13 years with the mean of 8.3 years. Six injuries caused by road accident and 1 injury caused by fall from high. Two cases associated with pulmonary contusion, 3 cases brain injuries, 1 case fracture of calcaneus and 1 case bladder injuries. All the cases were closed fractures without nerve and blood vessel injury. A cast external fixation had been used after operation for a month in two cases.</p><p><b>RESULTS</b>All the patients were followed up for 21-37 months with an average of 30.3 months. No infecton of incisional wound, displacement fracture, internal fixation fail, delayedunion and malunion were found. All fracture obtained healing for 7-12 weeks with an average of 8.7 weeks. Inequality of lower limb was found in 1 case (length differences was 5 mm). According to Flynn scoring,all fractures were excellent.</p><p><b>CONCLUSION</b>Treatment of femoral shaft fractures in children with elastic intramedullary nail according with biological principle. The method has little trauma, less complication, outstanding effect and it is a good way to treat bilateral femoral shaft fractures result from high-energy injuries.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Clavos Ortopédicos / Elasticidad / Fracturas del Fémur / Fijación Intramedular de Fracturas / Métodos Límite: Adolescente / Niño / Child, preschool / Femenino / Humanos / Masculino Idioma: Chino Revista: China Journal of Orthopaedics and Traumatology Año: 2010 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Cirugía General / Clavos Ortopédicos / Elasticidad / Fracturas del Fémur / Fijación Intramedular de Fracturas / Métodos Límite: Adolescente / Niño / Child, preschool / Femenino / Humanos / Masculino Idioma: Chino Revista: China Journal of Orthopaedics and Traumatology Año: 2010 Tipo del documento: Artículo