EXTERNAL FIXATION MAINTAINED UNTIL FRACTURE CONSOLIDATION IN THE SKELETALLY IMMATURE

被引:40
作者
EVANOFF, M [1 ]
STRONG, ML [1 ]
MACINTOSH, R [1 ]
机构
[1] SHRINERS HOSP CRIPPLED CHILDREN,CHICAGO,IL
关键词
EXTERNAL FIXATION; CHILDREN; SKELETAL IMMATURITY;
D O I
10.1097/01241398-199301000-00020
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
In a prospective study, we investigated the effects of external fixation on fracture union in skeletally immature patients. Twenty-five fractures of the femur and tibia in 21 patients were fixed externally with the intention of leaving the fixator in place until the fractures consolidated or nonunion was established. The main indications were head injury and multiple trauma. One hundred percent of the fractures consolidated with the fixator in place; 45 of 50 joints had 100% motion, three had 95% motion, and two had 60% motion owing to scarring from traumatic wounds. Eight-four percent of the fractures lost no position in the fixator, and 16% lost less-than-or-equal-to 5-degrees.
引用
收藏
页码:98 / 101
页数:4
相关论文
共 7 条
[1]  
Alonso J.E., Horowitz M., Use of the AO/ASIF external fixator in children, J Pediatr Orthop, 7, pp. 594-600, (1987)
[2]  
Kirschenbaum D., Albert M.C., Robertson R.W., Davidson R.S., Complex femur fractures in children: Treatment with external fixation, J Pediatr Orthop, 10, pp. 588-591, (1990)
[3]  
Lehmann L., Ferbert W.N., Die Anwendung des Fixateur ex-terne in der Behandlung kindlicher Schaftfrakturen, Maschr Unfallheilkd, 78, pp. 401-407, (1975)
[4]  
Shih H., Chen L., Lee Z., Shih C., Treatment of femoral shaft fractures with the Hoffman external fixator in prepuberty, J Trauma, 29, pp. 498-501, (1989)
[5]  
Shlomo P., Milgrowr C., Nyska M., Whiswer J.H., Zoltan J.D., Mallin B.A., Femoral fracture treatment in head-injured children: Use of external fixation, J Trauma, 26, pp. 81-84, (1986)
[6]  
Tolo V.T., External fixation in children’s fractures, J Pediatr Orthop, 3, pp. 435-442, (1983)
[7]  
Tolo V.T., External fixation in multiply injured children, Orthop Clin North Am, 21, pp. 393-400, (1990)