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目的 观察切开复位髓内针固定治疗小儿股骨干骨折的疗效。方法 对 2 6例儿童股骨干骨折采用切开复位髓内针内固定 ,术后下肢皮肤牵引或穿“T”形鞋 3～ 4周。结果 随访 6～ 48个月 ,无一例出现骨折不愈合、延迟愈合或拔针困难等。有 2例患侧肢体较健侧短 1 0～ 1 5cm ,5例长0 6～ 1 8cm ,无明显跛行 ,下肢功能完全正常。结论 儿童股骨干骨折不应一概列为髓内针内固定治疗的禁忌证。只要病例选择恰当 ,髓内针内固定治疗 ,具有达到解剖复位、住院时间短、功能恢复快、无并发症等优点
Objective To observe the effect of open reduction and intramedullary nailing in the treatment of pediatric femoral shaft fracture. Methods Twenty-six children with femoral shaft fractures were treated with open reduction and intramedullary nail fixation, postoperative skin traction of the lower extremities or wearing “T” shaped shoes for 3-4 weeks. Results The follow-up ranged from 6 to 48 months. None of the patients had fracture non-union, delayed healing or needle-pulling difficulties. There were 2 cases of ipsilateral short 10 ~ 1 5cm shorter than the healthy side, 5 cases long 0.6 ~ 18cm, no obvious limp, lower extremity function completely normal. Conclusion Children’s femoral shaft fractures should not be summarized as a contraindication for the treatment of intramedullary nailing. As long as the appropriate choice of cases, intramedullary nailing treatment, with the achievement of anatomic reduction, hospitalization time is short, quick recovery, no complications, etc.