EXTERNAL FIXATION FOR DIAPHYSEAL FEMORAL FRACTURES - A BENEFIT TO THE YOUNG-CHILD

被引：13

作者：

VANTETS, WF

VANDERWERKEN, C

机构：

[1] Department of Surgery, St Elisabeth Hospital, Tilburg

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1992年 / 23卷 / 03期

关键词：

D O I：

10.1016/S0020-1383(05)80035-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

External fixation for the treatment of diaphyseal femoral fractures in children seems an attractive alternative, which explains why its application gets more and more advocates. Between 1984 and 1989 15 children aged from 4 to 10 years were treated for a diaphyseal femoral fracture with an external fixation using a small Hofmann system. Fracture healing was without complications. Four children were able to walk on crutches non-weight-bearing after a short period. Six cases had complications, such as pin tract infection, inexplicable pain, or secondary displacement. One patient sustained a supracondylar fracture through one of the distal pin tracts. Hospital stay was longer than expected. In conclusion external fixation for femoral fractures in children is simple and elegant, but has considerable complications, while presumed advantages are not always obtained. In selected cases it is an attractive alternative, but the indications must be restricted.

引用

页码：162 / 164

页数：3

共 8 条

[1]

Hammacher, Schutte, Fixateur externe voor femurschachtfracturen bij kinderen, Ned. Tijdschr. Geneeskd., 134, (1990)

[2]

Klein, Penning, Brug, Die Anwendung eines unilateralen Fixateur externe bei der kindlichen Femurschaft-fraktur im Rahmen des Polytraumas, Unfallchirurg., 92, (1989)

[3]

Krettek, Haas, Tscherne, Versorgung der Femurschaftfraktur im Wachstumalter mit dem Fixateur externe, Aktuel Traumatol., 19, (1989)

[4]

Kuner, Hendrich, Schiel, Der Oberschenkelschaftbruch im Wachstumsalter Operative Therapie—Indikation und Ergebnisse, Hefte zur Unfallheilkunde, 158, pp. 102-105, (1982)

[5]

Pelinka, Schwarz, Fixateur externe beim kindlichen Oberschenkelbruch, Unfallheilkunde, 182, (1986)

[6]

Schwarz, Der Fixateur externe als Behandlungsmethode beim Oberschenkelbruch des Kindes, Unfallheilkunde, 86, (1983)

[7]

Wagner, Deisenhammer, Kutscha-Lissberg, Indikation zur Osteosynthese kindlicher Oberschenkelfrakturen, Unfallheilkunde, 182, (1986)

[8]

Ziv, Rang, Treatment of femoral fracture in the child with head injury, J. Bone Joint Surg., 65 B, (1983)

← 1 →