外固定支架在儿童骨折中的应用研究

目的根据儿童骨折特点,探索外固定支架在儿童骨折中的应用价值。方法自1999年1月至2001年8月,采用外固定支架的方法治疗各类复杂的儿童骨折25例,术后早期进行患肢功能练习。结果平均随诊10个月,25例骨折全部愈合,肢体功能康复优良率88%,远期疗效待观察。结论对于复杂不稳定的儿童骨折,通过外固定支架治疗,做到了骨折的确切固定,同时满足了骨折固定后的肢体和皮肤的观察和管理,更有利于术后的功能练习和康复,骨折愈合及肢体康复后可以随时去除固定针和外固定支架。最大限度的满足了儿童骨折的治疗特点及愈后和康复问题。对于各类复杂的儿童骨折具有重大的临床应用价值。

Applications of external fixators to treat children fractures

Objective To discuss the application value of external fixator to treat the fractures of children according to the characteristics of the fracture of chidren. Methods 25 cases of different complicated fractures of children were treated with external fixator from Jan,1999 to Aug.2001, and given function exercises in the earlier periode after operation. Results The mean follow up time was 10 months. All the fractures healed.The recovery of function was excellent in 88?ses.The long effect is to be observed. Conclusions Using of external fixator to treat the complicated unstable fractures of children can make definite reduction,help to observe and manage the limb and skin after operation,and greatly meet the needs of the fractures of children.The external fixator has a great clinical application value in treating different complicated fractures of children.