INTRAMEDULLARY NAILING OF PEDIATRIC FEMORAL FRACTURES

被引：79

作者：

GALPIN, RD ^{[1
]}

WILLIS, RB ^{[1
]}

SABANO, N ^{[1
]}

机构：

[1] UNIV WATERLOO,WATERLOO N2L 3G1,ONTARIO,CANADA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1994年 / 14卷 / 02期

关键词：

FEMORAL FRACTURES; INTRAMEDULLARY NAILING; PEDIATRIC TRAUMA;

D O I：

10.1097/01241398-199403000-00010

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：

This retrospective study reviews our results with intramedullary nail fixation of 37 fractures of the femur in 35 skeletally immature patients. Five of these fractures were open. Twenty-two patients (average age 12 + 9 years) were treated with reamed intramedullary nails. Fifteen patients (average age 9 + 6 years) were treated with nonreamed nails. All fractures united in 6-12 weeks. There were no infections, delayed or nonunions, nor were there any incidences of avascular necrosis. There were very few significant complications. One patient required excision of heterotopic bone to restore hip motion. When surgical treatment of pediatric femur fractures is indicated, we prefer intramedullary nail fixation (either reamed or nonreamed) depending on age, fracture pattern (level, degree of comminution), and size of femoral canal. Experience and careful surgical judgment are required to appropriately individualize treatment for these patients.

引用

页码：184 / 189

页数：6

共 12 条

[1]

Brumback R.J., Wells J.D., Lakatos R., Poka A., Bathon G.H., Burgess A.R., Heterotopic ossification about the hip after in-tramedullary nailing for fractures of the femur, J Bone Joint Surg [Am], 72, pp. 1067-1073, (1990)

[2]

Gage J.R., Cary J.M., The effects of trochanteric epiphyseod-esis of growth of the proximal end of the femur following necrosis of the capital femoral epiphysis, J Bone Joint Surg [Am], 62, pp. 785-794, (1980)

[3]

Herndon W.A., Mahnken R.F., Yngve D.A., Sullivan J.A., Management of femoral shaft fractures in the adolescent, J Pe-Diatr Orthop, 9, pp. 29-32, (1989)

[4]

Kirby R.M., Wingiust R.A., Hansen S.T., Femoral shaft fractures in adolescents: A comparison between traction plus cast treatment and closed intramedullary nailing, J Pediatr Orthop, 1, pp. 193-197, (1981)

[5]

Kissel E.U., Miller M.E., Closed intramedullary nailing of femur fractures in older children, J Trauma, 29, pp. 1585-1588, (1989)

[6]

Ligier J.N., Metaizeau J.P., Prevot J., Lascombes P., Elastic stable intramedullary nailing of femoral shaft fractures in children, J Bone Joint Surg [Br], 70, pp. 74-77, (1988)

[7]

Mann D.C., Weddington J., Davenport K., Closed Enders nailing of femoral shaft fractures in adolescents, J Pediatr Orthop, 6, pp. 651-655, (1986)

[8]

Mazur J.M., O'Malley D.E., Cummings R.J., Avascular Necrosis of the Femoral Head Following Intramedullary Nailing in the Growing Child, (1993)

[9]

Stevens P.M., Coleman S.S., Coxa breva: Its pathogenesis and rationale for its management, J Pediatr Orthop, 5, pp. 515-521, (1985)

[10]

Valdiserri L., Marchiodi L., Rubbini L., Kuntscher nailing in the treatment of femoral fractures in children. Is it completely contraindicated, Ital J Orthop Traumatol, 3, pp. 293-296, (1983)

← 1 2 →