闭合复位弹性髓内钉治疗儿童转子下骨折

目的回顾性分析闭合复位弹性髓内钉固定治疗儿童股骨转子下骨折33例的临床疗效及并发症分析。方法2006年12月至2010年3月采用上述方法治疗33例股骨转子下骨折患儿，男19例，女14例，年龄4～16岁，平均11．6岁。结果随访16～36个月，平均28．8个月，33例骨折均骨性愈合。髋关节功能按Sanders评分，优28例，良2例，差3例，优良率90．90％。并发症：骨折成角畸形5例，其中畸形愈合1例，钉尾激惹5例，患肢短缩2例，关节活动受限3例。结论微创手术治疗儿童转子下骨折能获得满意的临床疗效，是首选的治疗方法，术前把握手术指证、术中规范操作、术后加强功能锻炼是预防并发症的关键。

Efficacy and Complications of Close Reduction and Eiastic Intramedullary Nail Fixation for Pediatric Subtrochanteric Fracture

Objective Retrospective analysis of closed of pediatric subtrochanteric fracture in 33 cases,Analysis reduction and elastic intramedullary nailing in the treatment of complications and clinical efficacy. Methods December 2006 to March 2010 using the above method of treatment of 33 cases of subtrochanteric femur fractures in children,19 males and 14 females,aged 4 to 16 years old,with an average of 11.6 years. Results Were followed up for 16 to 36 months,an average of 28.8 months, 33 cases of fractures healed. Hip function Sanders scoring ：excellent in 28cases, good in 2 case,good rate of 90. 90. Complications ：malunion 1 cases,irritation Spiketail 5 cases, 2 cases of limb shortening, joint activities are restricted three cases. Conclusion Minimally invasive surgery to obtain a satisfactory clinical outcome,is the preferred method of treatment of children with subtrochanteric fracture. The indications for surgery, preoperative grasp norms operating in surgery after surgery to enhance functional exercise is the key to the prevention of complications.