INTERNAL-FIXATION VERSUS TRACTION AND CASTING OF ADOLESCENT FEMORAL-SHAFT FRACTURES

被引：117

作者：

REEVES, RB

BALLARD, RI

HUGHES, JL

机构：

[1] Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MS

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1990年 / 10卷 / 05期

关键词：

Adolescent femoral shaft fractures; Nonoperative treatment; Operative treatment;

D O I：

10.1097/01241398-199009000-00004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We compared the results of traction plus subsequent casting with rigid internal fixation in a large series of adolescent femoral shaft fractures. Of 90 patients with 96 femoral shaft fractures, 49 (52 fractures) underwent rigid internal fixation, whereas 41 (44 fractures) underwent traction and subsequent casting until healing occurred. The traction and casting group had a mean hospital stay of 26 days. The operative group had a mean hospital stay of 9 days and had fewer complications than the nonoperative group. Adolescent femoral shaft fractures can be operatively treated with excellent results and a decreased complication rate. Operation results in shorter hospitalization, which has psychological, social, educational, and economic advantages over conservative treatment. © 1990 Raven Press, Ltd., New York.

引用

页码：592 / 595

页数：4

共 17 条

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