钛制弹性髓内钉加尾帽内固定治疗儿童股骨干骨折的疗效分析

Analysis of clinical efficacy of titanium elastic intramedullary nail and end cap internal fixation in the treatment of femoral shaft fracture in children

目的探讨钛制弹性髓内钉加尾帽内固定治疗儿童股骨干骨折的临床疗效。方法选取儿童股骨干骨折患儿80例,按随机数字表分为试验组(钛制弹性髓内钉加尾帽固定)和对照组(钢板内固定),比较两组患儿的手术时间、术中出血量、住院时间及骨折愈合时间。结果试验组40例患儿术中出血量、住院时间、骨折愈合时间均显著优于对照组(P<0.05);两组患儿骨折肢体功能恢复优良率差异无统计学意义(P>0.05)。结论钛制弹性髓内钉加尾帽内固定治疗儿童股骨干骨折,创伤小、骨折愈合率高,可早期进行功能锻炼,患肢功能恢复好,并发症少,值得临床推广应用。

Objective To evaluate the clinical efficacy of titanium elastic intramedullary nail and end cap internal fixation for the treatment of femoral shaft fractures in children. Methods 80 children with femoral shaft fracture in our hospital were enrolled.The patients were divided into experimental group(titanium elastic intramedullary nail and end cap fixation) and control group(steel plate internal fixation) according to random number method.And then,the operation time,intraoperative blood loss,hospitalization time and fracture healing time of the two groups were compared. Results The intraoperative blood loss,hospitalization time and fracture healing time of the experimental group were significantly better than those of the control group( P <0.05).There was no statistically significant difference in the excellent rate of fracture function recovery between the two groups( P >0.05). Conclusion Titanium elastic intramedullary nail and end cap internal fixation for the treatment of femoral shaft fractures in children is worthy of clinical application because of its small trauma,high fracture healing rate,early functional exercise,good functional recovery and few complications.