EXTERNAL FIXATION OF FEMUR FRACTURES IN CHILDREN

被引:111
作者
ARONSON, J
TURSKY, EA
机构
[1] Department of Orthopaedics, University of Arkansas for Medical Sciences, Little Rock, AR
[2] Section of Pediatric Orthopaedics, Arkansas Children’s Hospital, Little Rock, AR
关键词
EXTERNAL FIXATION; FEMUR FRACTURE;
D O I
10.1097/01241398-199203000-00003
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
Forty-two children (44 femur fractures) were treated by primary external fixation and early weightbearing (1984-1989). The fractures were reduced anatomically when possible. Average age at fracture was 9 years 7 months (range, 2 years 5 months to 17 years 8 months). Duration of external fixation averaged 70 days (range 42-117 days). Of 176 pins, 15 (8.5%) were inflamed and five (2.8%) required intravenous antibiotics; none resulted in osteomyelitis. Most patients returned to school by 4 weeks, and all had full knee motion 6 weeks after fixator removal. Of 16 patients with documented follow-up of at least 18 months, only six (38%) had overgrowth from 2 to 10 mm (average 5.8 mm).
引用
收藏
页码:157 / 163
页数:7
相关论文
共 5 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] Dabezies E.J., D'Ambrosia R., Shoji H., Norris R., Murphy G., Fractures of the femoral shaft treated by external fixation with the Wagner device, J Bone Joint Surg [Am], 66, pp. 360-364, (1984)
  • [3] Hoffmann R., Rotules â os pour la “reduction dirigee”, non sanglante, des fractures (“osteotaxis”), Helv Med Acta, 5, pp. 844-850, (1938)
  • [4] Tolo V.T., External skeletal fixation in children’s fractures, J Pediatr Orthop, 3, pp. 435-442, (1983)
  • [5] Wagner H., Operative Beinverlângerung, Chirurg, 42, pp. 260-266, (1971)