FEMUR FRACTURES IN INFANTS - A NEW THERAPEUTIC APPROACH

被引：28

作者：

STANNARD, JP

CHRISTENSEN, KP

WILKINS, KE

机构：

[1] Orthopaedic Surgery Service, Brooke Army Medical Center, Fort Sam Houston, San Antonio, TX

[2] Orthopaedic Surgery Service, Tripler Army Medical Center, Honolulu, HI

[3] The University of Texas, Health Science Center at San Antonio, and Santa Rosa Children's Hospital, Santa Rosa Medical Center, San Antonio, TX

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1995年 / 15卷 / 04期

关键词：

FEMUR; FRACTURE; HARNESS; INFANT; PAVLIK;

D O I：

10.1097/01241398-199507000-00010

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：

Fourteen patients with 16 femur fractures sustained between birth and 18 months of age were treated with a Pavlik harness rather than traditional casting methods. All of the fractures went on to stable union within 5 weeks. Eleven fractures have been followed-up for >12 months, with a range of 12-30 months, and a mean of 20.1 months. All of the fractures healed in good alignment, with leg-length discrepancies <1 cm. There have been no adverse results or complications as a result of treatment with the Pavlik harness to treat femur fractures, including fractures of the proximal and middle thirds of the femur; and shortening of <2 cm. Advantages of the use of the Pavlik harness include ease of application without general anesthesia, minimal hospitalization, ease of reduction, ability to adjust the harness (and therefore the fracture alignment) if the reduction is lost, minimal cost, and ease of nursing, bonding with, and changing diapers on the infant.

引用

页码：461 / 466

页数：6

共 17 条

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