Hou Limin,Jiang Fei,Qiao Fei,et al.Efficacy of elastic stable intramedullary nailing for school-age children with long spiral tibial shaft fractures[J].Journal of Clinical Pediatric Surgery,,22():373-378.[doi:10.3760/cma.j.cn101785-202111042-014]
Efficacy of elastic stable intramedullary nailing for school-age children with long spiral tibial shaft fractures
- Keywords:
- Tibial Fractures; Fracture Fixation; Intramedullary; Treatment Outcome; Child
- Abstract:
- Objective To explore the clinical efficacy of elastic stable intramedullary nailing (ESIN) for long spiral tibial shaft fractures in school-age children.Methods From October 2014 to October 2019,retrospective analysis of tibial shaft fractures was conducted for 7-12-year-old school-age children using elastic intramedullary nails.According to fracture type,they were divided into two groups of long spiral fracture (n=37) and horizontal/short oblique fracture (n=76).Basic profiles,intraoperative findings,hospitalization length,treatment outcomes and postoperative complications of two groups were compared.Results No significant inter-group differences existed in gender,age,sideness,injury cause,fracture site,fibula fracture or not,operative duration,intraoperative blood loss,hospitalization length or medical expenditure (P>0.05).No significant inter-group difference existed in Flynn efficacy evaluation of ESIN (P>0.05).There was no significant inter-group difference in fracture healing time,complete weight bearing time or intramedullary nail removal time (P>0.05).Complication rate was 2.70% in long spiral fracture group and 3.94% in transverse/short oblique fracture group.There was no statistically significant inter-group difference (P>0.05).Conclusion ESIN has an excellent therapeutic efficacy for school-age children with long spiral tibial shaft fractures.With minimal invasiveness,there is a low risk of postoperative complications.It is worthy of widespread clinical applications.
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Memo
收稿日期:2021-11-21。
通讯作者:蒋飞,Email:jf2299@163.com