髓内钉置入治疗儿童股骨干骨折:来源于SCI数据库的文献分析

The literature analysis of the intramedullary nailing implantation for the treatment of children's femoral shaft fracture based on the Science Citation Index database

背景:儿童股骨干骨折在创伤骨科很常见,以往多采用牵引复位、石膏固定等保守治疗,很少采用手术治疗。这些治疗方法虽然简单、费用低,但患儿痛苦大、卧床时间长、并发症多。近年来越来越多的骨科医生开始采用手术和各种器械固定的方法。弹性髓内钉是治疗儿童股骨干骨折的有效方法,提供了一种良好的内同定选择,具有创伤小、恢复快、住院时间短、早期负重恢复功能的优点。目的:探讨髓内钉在治疗儿童股骨干骨折中的应用,以及钛制弹性髓内钉置入治疗儿童股骨干骨折的优点。方法:通过计算机检索SCI数据库中2001/2010有关髓内钉置入治疗儿童股骨干骨折的文献,检索词为"股骨干骨折(femoral shaft fracture);髓内钉(intramedullary nail);弹性髓内钉(elastic stable intramedullary nailing,ESlN);钛制弹性髓内钉(titanium elastic nail);儿童(child);内固定(internal fixation)",分析结果,并总结髓内钉置入治疗儿童股骨干骨折的发展趋势。结果与结论:弹性髓内钉主要用于治疗儿童骨干和干骺端骨折固定,一般年龄下限为3～4岁,上限为13～15岁,骨折类型以股骨干中段横形骨折与短斜形骨折为最佳,靠近股骨大转子或股骨髁的骨折尽量少用髓内钉固定。弹性髓内钉置入治疗儿童股骨干骨折并发症少,临床效果满意。髓内钉置入治疗儿童股骨干骨折在SCI数据库收录的文献量以及在国家地区分布、机构分布、来源期刊的分布方面均呈上升趋势。髓内钉在治疗儿童股骨干骨折的研究文献以美国等学术力较强的研究机构产出的文献为主。

BACKGROUND： The femoral shaft fractures are common in orthopedic trauma department for children, which were treated by traction, cast immobilization, and rarely by surgery in the past. The treatment was simple, low cost, but children would suffer in bed for a long time, more complications. In recent years, an increasing number of orthopedic surgeons began to use a fixed method of surgery and a variety of devices. Elastic intramedullary nailing is an effective method of treatment for children with femoral shaft fractures, and provides a good choice with less trauma, quicker recovery, and shorter stay in bed, early weight the advantages of restoring function. OBJECTIVE： To explore the application of the intramedullary nail as well as the advantages of titanium elastic intramedullary nailing for the treatment of children＇s femoral shaft fracture. METHODS： A retrieval was performed for the literature of the intramedullary nailing implantation for the treatment of children＇s femoral shaft fracture, using key words of femoral shaft fracture, intramedullary nail, elastic stable intramedullary nailing, titanium elastic nail, child, internal fixation between 2001 and 2010 in SCI database. RESULTS AND CONCLUSION： The flexible intramedullary nailing for the treatment of children with backbone and metaphyseal fractures generally requires the minimum age of 3 to 4 years, a maximum of 13 to 15 years. The type of fracture to the femoral fractures and short form the middle normal oblique fractures for best, near the femoral big rotor or of the femoral condyle fracture use less as far as possible intramedullary nail was fixed. The flexible intramedullary nailing for the treatment of children＇s femoral shaft fracture had fewer complications, and satisfactory clinical results. The literature of intramedullary nailing for the treatment of children＇s femoral shaft fracture in the SCI database as wel as at the national regional distribution, institutional distribution, the distribution of source journals showed an upward trend, and the research literature mainly to the United States and other academic stronger output of research institutions literature.