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小儿闭合性股骨干骨折三种治疗方法比较
引用本文:毛吉刚,陈根元,萧文耀,王文己,胡龙.小儿闭合性股骨干骨折三种治疗方法比较[J].中国矫形外科杂志,2005,13(10):725-728.
作者姓名:毛吉刚  陈根元  萧文耀  王文己  胡龙
作者单位:兰州大学第一医院骨科,甘肃省,兰州市,730000
摘    要:目的: 比较小儿闭合性股骨干骨折三种方法治疗的效果。方法: 回顾分析骨牵引加石膏外固定、单臂多功能外固定支架及加压钢板内固定治疗小儿闭合性股骨干骨折79例,从临床功能、愈合时间、并发症、X线片检查及经济方面对治疗结果进行综合评定比较。结果: 牵引固定组住院时间长于外固定架组和内固定组(P<0. 001), 外固定架组愈合时间短于牵引组和内固定组(P<0. 05), 费用明显少于牵引组、内固定组(P<0. 01)。结论: 单臂多功能外固定支架治疗小儿闭合性股骨干骨折效果理想, 综合评价优于骨牵引加石膏外固定和加压钢板内固定治疗。

关 键 词:小儿股骨干骨折  外固定支架  牵引  内固定
文章编号:1005-8478(2005)10-0725-04
修稿时间:2005年1月25日

Comparison of three kinds of treatments for pediatric closed femoral shaft fracture
MAO Ji-gang,CHEN Gen-yuan,XIAO Wen-yao,et al..Comparison of three kinds of treatments for pediatric closed femoral shaft fracture[J].The Orthopedic Journal of China,2005,13(10):725-728.
Authors:MAO Ji-gang  CHEN Gen-yuan  XIAO Wen-yao  
Affiliation:MAO Ji-gang,CHEN Gen-yuan,XIAO Wen-yao,et al.Department of Orthopaedic,The First Hospital of Lanzhou University,Lanzhou,Gansu 730000
Abstract:Objective:To compare and evaluate 3 kinds of treatments of pediatric closed femoral shaft fractures.Method: Seventy-nine patients were divided into 3 groups and treated using hip spica casting after skeletal traction, unilateral multi-functional fixation and plate fixation. The result were evaluated according to clinical function, time to union, complications, radiology examination and the economic cost.Result:Both time to union and economic cost of the external fixation group were shorter than that of the skeletal traction group and plate fixation group.Conclusion:The unilateral multi-functional external fixation is an ideal solution to pediatric closed femoral shaft fractures.
Keywords:Pediatric closed femoral shaft fractures  External fixators  Traction  Plate fixation
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