INTRAMEDULLARY NAILING OF FEMORAL-SHAFT FRACTURES IN ADOLESCENTS

被引:36
作者
TIMMERMAN, LA
RAB, GT
机构
[1] Department of Orthopaedic Surgery, University of California, Davis Medical Center, Sacramento, CA
关键词
ADOLESCENT; FEMORAL SHAFT FRACTURES; INTRAMEDULLARY NAILING;
D O I
10.1097/00005131-199308000-00008
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
Twenty-two femoral shaft fractures in 20 patients aged 10-14 years with open physes treated with closed reamed intramedullary nailing were studied retrospectively. Follow-up averaged 26.7 months in 18 of 20 patients. Eleven additional patients with 11 femoral shaft fractures treated with casting and traction were included for comparison of hospitalization time, cost, and time to mobilization. All of the fractures treated with an intramedullary nail healed without malunion or leg length inequality, and there was no evidence of growth plate arrest. The patients treated with an intramedullary nail had statistically significant shorter hospitalizations and shorter times to mobilization, and treatment had an estimated cost of less than half of traction treatment. Results of this study suggest that closed intramedullary nailing of femur fractures in adolescents is an effective treatment option.
引用
收藏
页码:331 / 337
页数:7
相关论文
共 39 条
[1]  
(1985)
[2]  
Aronson D.D., Singer R.M., Higgins R.F., Skeletal traction for fractures of the femoral shaft in children, J Bone Joint Surg [Am], 69, pp. 1435-1439, (1987)
[3]  
Bone L., Bucholz R., Current concepts review: The management of fractures in the patient with multiple trauma, J Bone Joint Surg [Am], 68, pp. 945-949, (1986)
[4]  
Bone L.B., Johnson K.D., Weigelt J., Scheinberg R., Early versus delayed stabilization of femoral fractures, J Bone Joint Surg [Am], 71, pp. 336-340, (1989)
[5]  
Bucholz R., Jones A., Current concepts review: Fractures of the shaft of the femur, J Bone Joint Surg [Am], 73, pp. 1561-1566, (1991)
[6]  
Chapman M.W., Intramedullary fixation in open fractures, Clin Orthop, 212, pp. 26-34, (1986)
[7]  
Chapman M.W., Closed nailing of an open femoral fracture 337 with an interlocking intramedullary nail, Strat Orthop Surg, 11, 2, pp. 1-10, (1992)
[8]  
Celiker O., Cetin I., Sahlan S., Pestilci F., Altug M., Femoral shaft fractures in children: Technique of immediate treatment with supracondylar Kirschner wires and one-and-a half spica cast, J Pediatr Orthop, 8, pp. 580-584, (1988)
[9]  
Fein L.H., Pankovich A.M., Spero C.M., Baruch H.M., Close intramedullary nailing of adolescent femoral shaft fractures, J Orthop Trauma, 3, pp. 133-141, (1989)
[10]  
Fry K., Hoffer M.M., Brink J., Femoral shaft fractures in brain-injured children, J Trauma, 16, pp. 371-373, (1976)