Huang LM,Wang WT,Pan YC,et al.Comparison of interlocking intramedullary nail versus locking plate fixation in juvenile femoral shaft fractures.[J].Journal of Clinical Pediatric Surgery,,18():124-129.
Comparison of interlocking intramedullary nail versus locking plate fixation in juvenile femoral shaft fractures.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 02
Page:
124-129
Column:
论著
Date of publication:
2019-02-25
- Keywords:
- Adolescent Interlocking Intramedullary Nail; Locking Plate; Adolescent; Femoral Shaft Fracture
- CLC:
- R726.8 R683.42
- Document code:
- A
- Abstract:
- ObjectiveTo compare the clinical outcomes of interlocking intramedullary nail fixation using a lateral trochanteric entry point versus locking plate fixation in the treatment for juvenile femoral shaft fracture.MethodsFor this retrospective comparative study，a total of 29 inpatients of Sanming Second Municipal Hospital or Fuzhou Second Affiliated Hospital of Xiamen University undergoing interlocking intramedullary nail fixation using a lateral trochanteric entry point or locking plate fixation because of juvenile femoral shaft fracture were recruited between May 2014 and May 2016.And the interventions included intramedullary nail group (n=16) and plate group (n=13) according to treatment methods.Length of incision，volume of blood loss，time of weightbearing and time of fracture healing were compared between two groups.At the final visit，neckshaft angle and femoral shaft axis angulation in frontal plane were measured radiologically and compared to uninjured side.Also nonarthritic hip score (NAHS) was utilized for evaluating the hip joint function of injured side.The differences were compared between two groups.ResultsThe lengths of incision of both groups were (5.27±0.39) and (7.66±0.41) cm respectively and the differences were not statistically significant (t=0.972，P=0.011); volume of blood loss and time of weightbearing were (131.88±6.43) mL and (52.81±3.37) days in intramedullary nail group versus (145.25±7.79）mL and（64.35±3.42）days in another group respectively.Statistically significant differences existed between two groups (P<0.05).Time of fracture healing of both groups were (60.25±3.86) and (70.63±8.87）days respectively.And the differences were not statistically significant (t=0.886,P=0.028).In intramedullary nail group，neckshaft angle and femoral shaft axis angulation in frontal plane of injured side were (150.11±1.62)° and (178.88±0.49)° while uninjured side (150.20±1.01)° and (178.84±0.34)° respectively.And the differences between two sides were not statistically significant (P>0.05).In plate group，neckshaft angle and femoral shaft axis angulation in frontal plane of injured side were (150.37±1.11)°and (178.88±1.09)°while uninjured side (149.98±0.98)°and (179.12±0.42)°respectively.And the differences between two sides were not statistically significant (P>0.05).The NAHS score of two groups were (94.19±2.37) and (94.46±2.22) respectively and the differences were not statistically significant (t=0.317，P=0.748).All patients achieved bony union at the final followup.One patient in plate group had screw migration and delayed union while another patient in plate group had slight valgus deformity of distal femur.ConclusionIdeal for juvenile femoral shaft fracture，interlocking intramedullary nail fixation yields better outcomes than locking plate.It has the advantages of minimal blood loss，faster healing and fewer complications.
Last Update:
2019-02-26