孙辽军;陈华;

• 1:温州医学院附属第二医院骨科

摘要(Abstract)：

[目的]探讨弹性髓内钉闭合复位内固定治疗儿童双侧胫骨骨折的疗效。[方法]5例双侧胫骨骨折的儿童患者,男4例,女1例,年龄3~10岁,均采用弹性髓内钉闭合复位内固定治疗。[结果]本组病例均获12~36个月随访,平均27.4个月,无1例发生切口并发症,无继发骨折移位及内固定物失效或断裂。5例骨折全部愈合,骨愈合时间7~13周(平均9.6周),无延迟愈合、骨不连,无旋转畸形及下肢短缩或过度生长,胫骨骨折1足出现向前成角5,°1足向内成角<5°,无膝、踝关节的功能障碍。[结论]采用弹性髓内钉治疗符合生物学固定原则,创伤小,并发症少,疗效满意,是治疗儿童胫骨骨折的较好方法。

关键词(KeyWords)： 胫骨骨折;骨折内固定术;弹性髓内钉

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 孙辽军;陈华;

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参考文献(References)：

• [1]水小龙,孔建中,潘骏.弹性髓内钉治疗儿童胫骨骨折的临床疗效分析[J].中华小儿外科杂志,2007,9:498-500.
• [2]陈博昌,王志刚,杨杰,等.弹性髓内针交叉固定治疗儿童长骨骨折[J].中国矫形外科杂志,2003,9:598-601.
• [3]Fricka KB,Mahar AT,Lee SS,et al.Biomechanical analysis of ante-grade and retrograde flexible intramedullary nail fixation of pediatricfemoral fractures using asynthetic bone model[J].J Pediatr Othop,2004,2:167-171.
• [4]Ho CA,Skaggs DL,Tang CW,et al.Use of flexible intramedullarynails in pediatic femur fractures[J].J Pedlar Orhop,2006,4:497-504.
• [5]Flynn JM,Hresko T,Reynolds RA,et al.Titaniumelastic nails for pe-diatric femur fractures:a multicenter study of early results with analy-sis of complications[J].J Pediatr Orthop,2001,21:4-8.
• [6]Flynn JM,Schwend RM.Management of pediatric femoral shaft frac-tures[J].J Am Acad Orthop Surg,2004,12:347-359.
• [7]Vallamshetla VRP,De Silva U,Bache CE,et al.Flexible intramed-ullary nails for unstable fractures of the tibia in children.An eight-year experience[J].J Bone Joint Surg(Br),2006,4:536-540.
• [8]Lascombcs P,Haumont T,Journeau P.Use and abuse of flexible in-tramedullary nailing in children and adolescents[J].J Pediatr Or-thop,2006,6:827-834.
• [9]Salem KH,Lindemann I,Kepplcr P.Flexible intramedullary nailingin pediatric lower limb fractures[J].J Pediatr Orthop,2006,4:505-509.