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目的探讨钛质弹力髓内钉(TEIN)治疗儿童股骨干骨折的疗效。方法对24例儿童股骨干骨折在骨科牵引床上复位,C型臂X线机监控下顺行或逆行穿入TEIN固定。结果经平均10个月(8～24个月)随访,骨折平均愈合时间为12.2周。3例发生轻微并发症,3例骨折成角5～10°;2例下肢短缩,短缩不超过1 cm。所有患者患侧膝关节活动度与健侧相仿。结论恰当使用TEIN治疗儿童股骨干骨折,符合骨折的BO固定原理,具有损伤小、骨折愈合快、内固定物取出方便、并发症少等优点,但应严格掌握适应证。
Objective To investigate the effect of titanium elastic intramedullary nailing (TEIN) in the treatment of femoral shaft fractures in children. Methods Twenty - four children with femoral shaft fractures were repositioned on an orthopedic traction bed. TEIN was fixed either retrogradely or retrogradely under C - arm X - ray. Results After an average of 10 months (ranged from 8 to 24 months), the mean fracture healing time was 12.2 weeks. 3 cases had minor complication, 3 cases fractured into 5 ~ 10 ° angle and 2 cases shortened and shortened less than 1 cm. The ipsilateral knee joint motion was similar in all patients. Conclusions Proper use of TEIN in the treatment of femoral shaft fractures in children is in line with the BO fixation principle of fractures. It has the advantages of less injury, faster fracture healing, easier removal of internal fixtures and fewer complications. However, indications should be strictly observed.