Ender钉治疗儿童股骨干骨折

目的探讨Ender钉治疗儿童股骨干骨折的疗效. 方法对24例儿童股骨干骨折采用小切口Ender钉内固定,术后单侧髋人字石膏固定患肢4周. 结果随访 6个月～2年,无一例出现骨折不愈合、延迟愈合 .有4例出现双下肢不等长,均小于1 cm.无明显跛行,下肢功能完全正常. 结论只要严格掌握其适应证和禁忌证,Ender钉治疗5～10岁儿童股骨干骨折具有切口小,解剖复位,不破坏骨膜、利于骨折修复,住院时间短,功能恢复快等优点.

Ender nail fixation for pediatric femoral shaft fractures

Objective To investigate the effectiveness of Ender nail fixation in the management of pediatric femoral shaft fractures. Methods A total of 24 children with femoral shaft fracture underwent small incision Ender nail internal fixation followed by 4 weeks of monolateral hip spica-cast immobilization. Results Follow-up observations for 6~24 months revealed no non-union or delayed union. The affected limbs were found within 1 cm shorter or longer than the contralateral in 4 cases. None became lame, and the functions of lower limbs were completely recovered. Conclusions So far as indications and contra-indications of Ender nail fixation are strictly followed, this treatment for femoral shaft fractures in children of age 5~10 years gives characters of small incision, anatomic reduction, unimpaired periosteum, short hospital stay, and quick functional recovery.