自制可移动垂直悬吊系统联合支具对儿童股骨干骨折的疗效

Efficacy of home-made movable vertically suspensory system combined with braces for femoral shaft fracture in children

目的观察自制可移动垂直悬吊系统治疗儿童股骨干骨折的效果。方法收治的13例股骨干骨折患儿均采用自制可移动垂直悬吊系统牵引复位,二期改用支具外固定治疗。随访患儿患肢功能,观察患儿术后恢复效果。结果13例患儿均获随访,骨折均获得骨性愈合。患儿随访时间为5~13个月,平均8.2个月;住院时间2~5 d,平均3.1 d。X线片提示患儿在骨折后44~68 d达到临床愈合,平均55.2 d。13例患儿中,因皮牵引出现张力性水泡1例,健侧肢体皮肤牵引脱落1例。末次随访时患儿患肢功能良好,日本骨科学会(JOA)评分均为优。结论自制可移动垂直悬吊系统联合支具对儿童股骨干骨折治疗效果较好,可缩短患儿住院时间,且舒适方便。

Objective To observe the effect of home-made movable vertically suspensory system for femoral shaft fracture in children.Methods Thirteen children with femoral shaft fracture were all treated with home-made movable vertically suspensory system for traction reduction,and patients in the second stage were treated by external fixation with braces.The function of the affected limb of the children was followed up and the postoperative recovery effect was observed.Results All the 13 children were followed up,and the fractures had bone healing.The children were followed up for 5 to 13 months,with an average of 8.2 months;the length of hospital stay was 2 to 5 days,with an average of 3.1 days.X-ray film showed that the children had achieved clinical healing 44 to 68 days after fracture.Among the 13 cases,1 case had tension blisters due to skin traction,and 1 case had skin traction off in the healthy limb.The function of the affected limbs was good at the last follow-up,and the Japanese Orthopaedic Society(JOA)scores were all excellent.Conclusion The home-made movable vertically suspensory system combined with braces has a good effect in treatment of children with femoral shaft fracture,which can shorten the hospitalization time of children,and is comfortable and convenient.