对儿童股骨干骨折整复标准的探讨

Exploration of Reduction Standard of Fracture of Femoral Shaft in Children

目的：报告６１例小儿股骨干骨折早期愈合时有不同程度成角、短缩、旋转畸形．并就患儿整复情况与自然塑形能力之间的关系进行探讨．方法：骨折整复采用牵引复位加小夹板或石膏外固定．结果：本组病例中，特别是婴幼儿中发现，虽然骨折早期愈合时未达到儿童股骨干骨折普遍认同的整复标准，特别还存在旋转畸形，日后随诊发现仍可获得解剖上的复位和功能恢复．结论：儿童股骨干骨折整复标准应随年龄不同而异，年龄越小，自身塑形能力越强，治疗标准也相应降低，据此提出不同年龄段的整复标准。

Objective: To report 61 cases of fractures of shaft of femur in children, all of which had angulations and spiral deformity at different level in early stage of fracture restoration, and to explore the relationship between effect of reduction and natural ability of recovery. Methods: All the cases were treated by traction and external fixation of swall splint or plaster. Results: An observation among of cases, especially the ones of infants and babies, which showed that though the patients did not achieved the generally accepted reduction standard in early stage of fracture restoration, even worse the spinal deformity was existed, it was found later that the patients could be achieved anatomical reduction and function all the same. Conclusions: Different reduction standard should be applied according to age range, the more younger the patient is, the more prior the natural ability of recovery can be, so the reduction standard would be adjusted also. Due to the situation, we bring forward a reduction standard in line with different age range.