中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (17): 3193-3196.doi: 10.3969/j.issn.1673-8225.2010.17.039

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

成人肱骨干重建钢板置入治疗儿童股骨干骨折32例：随访分析

刘晓强，陈宗雄，王万宗   

  1. 福建医科大学福总临床医学院骨一科，福建省福州市  350025
  • 出版日期:2010-04-23 发布日期:2010-04-23
  • 通讯作者: 陈宗雄，副主任医师，副教授，硕士生导师，福建医科大学福总临床医学院骨一科，福建省福州市 350025 lxq999999@live.cn
  • 作者简介:刘晓强★，男，1983年生，四川省安岳市人，汉族，福建医科大学福总临床学院骨科在读硕士，主要从事创伤骨科的研究。 lxq999999@live.cn

Adult reconstruction plate of humeral shaft for 32 children with femoral shaft fracture: Follow-up analysis

Liu Xiao-qiang, Chen Zong-xiong, Wang Wan-zong   

  1. First Department of Orthopedics, Fuzhou General Hospital of Fujian Medical University, Fuzhou  350025, Fujian Province, China
  • Online:2010-04-23 Published:2010-04-23
  • Contact: Chen Zong-xiong, Associate chief physician, Associate professor, Master’s supervisor, First Department of Orthopedics, Fuzhou General Hospital of Fujian Medical University, Fuzhou 350025, Fujian Province, China lxq999999@live.cn
  • About author:Liu Xiao-qiang★, Studying for master’s degree, First Department of Orthopedics, Fuzhou General Hospital of Fujian Medical University, Fuzhou 350025, Fujian Province, China lxq999999@live.cn

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摘要：

背景：股骨干骨折对于儿童来说是较常见的骨折之一，根据年龄，骨折情况的不同可以选择不同的治疗方法。
目的：观察运用成人肱骨干重建钢板置入治疗儿童股骨干骨折的效果。
方法：选择福建医科大学福总临床医学院骨一科收治的32例单一性股骨干骨折儿童，男20例，女12例；年龄5~8岁，平均6.7岁；均采用切开复位+成人肱骨干重建钢板置入内固定治疗，切口长度依据骨折类型尽量最短。所有病例根据临床及放射学检查结果进行分析。采用目测类比评分法记录患者在置入前及置入后3 d的主观疼痛情况。
结果与结论：32例患者均获得随访，平均随访时间1.5年。所有骨折于术后一两个月临床愈合，术后4~8个月骨性愈合后取出内固定物。术后出现患肢短缩3例，短缩0.6~1.5 cm，平均短缩1.1 cm。其余病例出现患肢不同程度过度生长，增长0.3~1.2 cm，全组29例平均增长(0.640±0.312)cm。术后3 d患者疼痛明显缓解，疼痛测量值变小。患肢活动范围增加，全部病例疗效满意，无切口感染及骨感染，无钢板折断及再骨折。提示成人肱骨干重建钢板适用于治疗儿童股骨干骨折，其治疗效果满意。

关键词: 肱骨干重建钢板, 成人, 股骨干骨折, 儿童, 硬组织植入物

Abstract:

BACKGROUND: Femoral shaft fracture is common in children. Various methods of treatment can be used successfully, depending on the age of the child and the type of fracture.
OBJECTIVE: To evaluate the feasibility of adult reconstruction plate of humeral shaft for pediatric femoral shaft fracture.
METHODS: A total of 32 children with femoral shaft fracture were treated with adult reconstruction plate of humeral shaft in First Department of Orthopedics, Fuzhou General Hospital of Fujian Medical University, including 20 males and 12 females aged 6.7 years (5-8 years). All patients were treated with incision reduction and adult reconstruction plate of humeral shaft. The incision length should be made as short as possible according to the fracture type. The result of surgery was determined using clinical and radiographic examinations. The pain condition was evaluated using visual analog scale method before and 3 days following surgery.
RESULTS AND CONCLUSION: The patients were followed up for 1-2 years (average 1.5 years). All fractures were healed 1-2 months postoperatively, and the internal fixator was removed 4-8 months postoperatively. The affected limb was shortened 0.6-1.5 cm (average 1.1 cm) in 3 cases. Overgrowth was observed in the other patients by 0.3-1.2 cm. The average overgrowth length was (0.64±0.312) cm in 29 patients. At 3 days postoperatively, the mean subjective pain was significantly reduced, and range of motion was improved compared with the day before surgery. There was no infection or implant displacement or re-fracture. It is feasible to use adult reconstruction plate of humeral shaft for paediatric femoral shaft fracture.

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