儿童股骨干骨折手术治疗的体会

目的：探讨手术治疗儿童股骨干骨折的疗效。方法：对66例儿童股骨干骨折分别进行弹性髓内针（30例），钢板（20例），单臂多功能支架外固定（16例），并随访比较分析。结果：所有病例均经10～20个月随访，平均15个月，所有骨折均愈合，愈合时间平均7.6（4～12）个月，患肢功能完全恢复正常。弹性髓内针组无并发症发生；钢板组延迟愈合2例，1例取出钢板后再骨折，经改用弹性髓内针固定愈合；单边支架外固定组4例发生钉道感染。结论：根据儿童股骨干骨折的部位和类型选择合理的固定方法，可有效的减少并发症发生。

Experience for treating femoral shaft fracture in children

Objective： To discuss clinical efficacy of operation on femoral shaft fracture in children. Methods： 66 cases were divided into three groups, 30 cases in flexible medullary nails group, 20 cases in steel plate group and 16 cases in unilateral multifunctional external fixation group. All patients were followed up and analyzed. Results：All cases were healed for 10~20 months （average 15 months）, the average healing time was 7.6 （4~12） months, and the limb function restored to normal. Flexible medullary nails group had no complications. Plate group has 2 cases delayed healing, and 1 case was refracture after plate remove. 4 cases in flexible medullary nails were involved in screw channel infection. Conclusion：Complications can be effectively reduced by the choice of rational fracture location and methods of fixation.