闭合复位弹性髓内钉治疗儿童股骨骨折的临床效果

Clinical Effect of Closed Reduction Elastic Intramedullary Nail in the Treatment of Femoral Fractures in Children

目的探究闭合复位弹性髓内钉在儿童股骨骨折中的应用效果.方法选取2018年2月—2022年2月该院收治的58例股骨骨折患儿为研究对象,并依据随机数字表法将其分为对照组和观察组,每组29例.对照组行切开复位接骨板内固定治疗,观察组行闭合复位弹性髓内钉治疗.对比两组的手术指标、术后并发症及患肢功能恢复优良率.结果观察组手术切口长度(2.97±0.89)cm短于对照组的(10.49±2.36)cm,手术出血量(20.32±6.45)mL少于对照组的(59.97±7.66)mL,手术时间(32.43±5.62)min短于对照组的(56.04±6.12)min,组间差异有统计学意义(P﹤0.05);观察组术后并发症总发生率为3.45%,低于对照组的24.14%,差异有统计学意义(P﹤0.05);观察组术后患肢功能恢复优良率高于对照组,差异有统计学意义(P﹤0.05).结论闭合复位弹性髓内钉治疗可以缩短儿童股骨骨折的手术时间,手术切口小,出血量低,可促进患儿骨折愈合,减少术后并发症,促进患肢功能恢复.

Objective Exploring the application effect of closed reduction elastic intramedullary nails femoral fractures in children.Methods Selecting 58 children with femoral fractures admitted to the hospital from February 2018 to February 2022 as the research subjects,and according to the random number table method,they were divided into a control group and an observation group,with 29 cases in each group.the control group underwent open reduction and bone plate internal fixation for treatment,the observation group treated with closed reduction and elastic intramedullary nail.The operative indexes,the postoperative complications and excellent recovery rate of affected limb function were compared between two groups.Results The length of the surgical incision in the observation group was(2.97±0.89)cm,which was shorter than(10.49±2.36)cm in the control group,the surgical bleeding volume(20.32±6.45)mL was less than the control group's(59.97±7.66)mL,the surgical time(32.43±5.62)min was shorter than the control group's(56.04±6.12)min,the differences between groups were statistically significant(P﹤0.05);the total incidence of postoperative complications in the observation group was 3.45%,lower than the control group's 24.14%,the difference between groups was statistically significant(P﹤0.05);the excellent and good recovery rate of postoperative limb function in the observation group was higher than that in the control group,the difference between groups was statistically significant(P﹤0.05).Conclusion Closed reduction elastic intramedullary nail treatment can shorten the surgical time for femoral fracture in children,with small incision and low blood loss,which is conducive to fracture healing,can reduce postoperative complications and promote the recovery of affected limb function.