Liu Chaoyu,Zhang Jianqiang,Xu Wenqiang,et al.Efficacy analysis of intramedullary nail fixation for femoral shaft fractures in adolescents via a lateral recumbent position with Steinmann pin[J].Journal of Clinical Pediatric Surgery,,():162-167.[doi:10.3760/cma.j.cn101785-202305033-012]
Efficacy analysis of intramedullary nail fixation for femoral shaft fractures in adolescents via a lateral recumbent position with Steinmann pin
- Abstract:
- Objective To explore the early efficacy and surgical essentials of closed reduction intramedullary nail fixation assisted by Steinmann pin for adolescent femoral shaft fractures.Methods From June 2018 to September 2021,the relevant clinical data were retrospectively reviewed for 31 adolescents undergoing intramedullary nail fixation for femoral shaft fractures via a lateral recumbent position with Steinmann pin.There were 18 boys and 13 girls with an average age of (13.5±2.1) year,an average weight of (60.2±6.5)kg and an average time from injury to surgery of (4.4±1.8)day.The affected side was left (n=20) and right (n=11).Statistical analysis was performed for surgical duration,hospitalization stay,hemorrhagic volume,lower extremity length at the last follow-up,articulotrochanteric distance (ATD),widest femoral neck diameter (FND) and neck shaft angle.Results Closed repositioning of femoral intramedullary nail fixation was assisted by a lateral recumbent Steinman pin.Average operative duration was (67.9±20.4) min and average volume of intraoperative hemorrhage (124.4±34.8)mL.At the last follow-up,hip function was evaluated according to the Harris function score.The excellent rate was up to 100%.The average follow-up period was (22.8±5.2)(15-37) month.At the last follow-up,length of lower extremities and healthy side,ATD,FND,cervical stem angle and hip function score were (84.2±5.1) cm,(84.1±5.2) cm;(30.3±1.4)°,(31.1±1.3)°;(27.7±1.9)°,(27.4±1.4)°;(132.0±2.9)°,(131.7±2.7)°;(95.7±2.0) points,(96.1±1.4) points respectively at affected and healthy sides.There were no statistically significant differences (P>0.05).At the last follow-up,there was no occurrence of infection,ischemic necrosis of femoral head,proximal femoral deformity,delayed healing,non-healing of fracture,functional impairment,re-fracture or loosening of internal fixation.Conclusions Treating adolescent femoral shaft fractures with closed reduction intramedullary nail fixation assisted by a lateral recumbent Steinman pin may achieve an excellent reduction with a definite therapeutic efficacy.
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Memo
收稿日期:2023-5-19。
通讯作者:王伟,Email:fywangwei0558@163.com