Wen Yuwei,Wang Qiang,Song Baojian,et al.Application of unilateral multifunctional external fixator for treatment of pathological fracture in children.[J].Journal of Clinical Pediatric Surgery,,17():117-121.
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Application of unilateral multifunctional external fixator for treatment of pathological fracture in children.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 02 Page: 117-121 Column: 论著 Date of publication: 2018-02-28
Author(s):
Wen Yuwei; Wang Qiang; Song Baojian; Feng Wei; Zhu Danjiang.
Department of Pediatric Surgery,Beijing Childrens Hospital affiliated to capital medical university,Beijing 100045，China.
Keywords:
Fractures; Spontaneous;  External Fixators;  Therapy;  Child
Document code:
A
Abstract:
ObjectiveExplore the effectiveness and advantages of unilateral multifunctional external fixator for treatment of pathological fracture in children. MethodsA retrospective review was conducted for 18 children with pathological fracture between January 2012 and December 2015 at our hospital. Unilateral external fixators combined with excochleation were used to treat tumorinduced pathological fractures and tumor like lesions,the others was treated with unilateral external fixator alone. Radiographic assessment was performed on the scheduled followup to examine bone fracture reduction and lesion healing. The clinical outcomes were evaluated using the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,ankle,etc. and patients satisfaction report at the final followup.ResultsAll patients had a mean followup period of 21.9 months after surgery. All patients (Including one cases of iatrogenic fracture during the operation) healed completely at 4 to 7 months after operation (mean,4.5 months). Pinrelated infection occurred in one case,no nonunion and malunion were reported. According to the comprehensive evaluation criteria of the shoulder,elbow,hip,knee,ankle,etc.curative effects are all excellent.Patients satisfactions degree are one hundred percent.ConclusionUnilateral multifunctional external fixator combined with excochleation or not combined with excochleation can be as an effective method to treat pathological fracture in children.
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