儿童股骨干骨折的牵引治疗

目的　探讨牵引治疗儿童股骨干骨折的临床疗效与优越性。方法　选择 12 6例儿童股骨干骨折病例 ,包括股骨上段骨折 4 2例。股骨中段 5 9例 ,股骨下段 2 5例及股骨中上 1/ 3交界处骨折 6 8例。按骨折不同部位采用不同牵引方式 ,平均牵引时间为 3周 ,以骨折处形成较丰富的骨痂生长为止 ,改为小夹板或髋人字石膏固定。结果　本组 12 6例 ,患肢无畸形 ,X线断端重叠 0～ 1 9cm ,成角 0～ 10°。经 5年随访 ,患肢功能良好 ,骨折愈合坚固。结论　对于儿童股骨干骨折应首选牵引疗法为宜

Traction Treatment on Cildren Femoral Saf Fracture

Objective To discuss the advantage in clinical effect of traction treatment on children femoral shaf fracture. Methods 126 cases of children femoral shaf fracture (42 cases at upper segment, 59 cases at middle segment, 25 cases at lower segment and 68 cases at upper-middle 1/3) were taken traction in varied methods for 3 weeks in average. The bone callus grew at fracture and then past fixation with splint. Results There was no deformity in 126 cases at involved limbs. Overlaps on X-ray was 0～1.9 cm with 0～10 after 5 years follow-up and all had good function and firmed healing. Conclusion The traction treatment of children femoral fracture should be first choice in clinic.