Wen Yuwei,Wang Qiang.Recent therapeutic advances for unstable femoral shaft fracture in children[J].Journal of Clinical Pediatric Surgery,2024,(08):796-800.[doi:10.3760/cma.j.cn101785-202209043-019]
儿童不稳定性股骨干骨折治疗现状
- Title:
- Recent therapeutic advances for unstable femoral shaft fracture in children
- Keywords:
- Femoral Fractures; Surgical Procedures; Operative; Fracture Fixation; Child
- 摘要:
- 儿童股骨干骨折是一种常见损伤,随着近年来体育活动、户外运动的增多以及城市交通的发展,其发生率也在增高。儿童股骨干骨折可以分为稳定性骨折和不稳定性骨折。稳定性骨折包括横行、短斜形和短螺旋形骨折,不稳定性骨折包括长斜形、长螺旋和粉碎性骨折。对于儿童稳定性股骨干骨折,弹性髓内钉内固定是治疗的金标准。对于骨骼接近成熟或体重较重、肥胖的患儿,可采用锁定髓内钉、接骨板或外固定架治疗。对于不稳定性儿童股骨干骨折,目前尚无统一治疗方案,可采用方法包括弹性髓内钉、锁定髓内钉、肌下接骨板和外固定架等。本文针对儿童不稳定性股骨干骨折的治疗现状、内固定方式及优缺点进行综述。
- Abstract:
- Femoral shaft fracture is a common injury in children.With the rapid paces of sport activities and urbanization in recent years,its incidence is also rising.According to stability status,it may be divided into stable and unstable fractures.Stable fractures include transverse,short oblique and short spiral while unstable fractures are composed largely of long oblique,long spiral and comminuted fractures.A gold standard for treating stable femoral shaft fractures in children is elastic intramedullary nail fixation.Locking intramedullary nail,submuscular plate or external fixator is applied for skeletally mature or obese children.However,internal fixation method of unstable femoral shaft fractures in children has remained controversial.The available fixations include elastic intramedullary nail,locking intramedullary nail,submuscular plate and external fixator.This review summarized various therapeutic choices of unstable femoral fractures and elaborated upon their merits and demerits.
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备注/Memo
收稿日期:2022-9-26。
基金项目:十三五国家重点研发计划(2020YFC1107604)
通讯作者:王强,Email:wangqiangmd@aliyun.com