Femur fracture in preschool children - Experience with flexible intramedullary nailing in 72 children

被引:46
作者
Bopst, Lea [1 ]
Reinberg, Olivier [1 ]
Lutz, Nicolas [1 ]
机构
[1] Univ Hosp CHUV, Dept Pediat Surg, Lausanne, Switzerland
关键词
femur fracture; flexible intramedullary nailing; pediatric trauma; preschool children;
D O I
10.1097/BPO.0b013e3180326713
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
Spica cast immobilization is the preferred treatment for closed femur fracture in preschool children. Flexible intramedullary nailing (FIN) is an alternative treatment but has never been specifically evaluated in this age group. A retrospective analysis of 72 children (mean age, 4.1 years; age range, 1.5-5.9 years) with 73 femur fractures treated by means of FIN was performed. The mean length of stay in hospital was 9.1 days (range, 1-46); weight bearing was started at a mean of 16.4 days (range, 1-60 days) after surgery. Follow-up was available in 62 children (mean, 36.7 months; range, 4-124 months). Complications included early distal nail exteriorization in 9 children (12.3%) during the first 10 years of the study. More than 1 cm of femur overgrowth was noted in 6 children (8.2%). Preschool children with femur fracture treated by means of FIN benefited from short hospital stay, early mobilization and weight bearing. Technique-related complications could be avoided. Longterm follow-up is mandatory in these children.
引用
收藏
页码:299 / 303
页数:5
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