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目的比较应用弹性髓内钉与钢板内固定治疗儿童股骨干骨折的治疗效果。方法将88例儿童股骨骨折分为两组,48例行弹性髓内钉固定,40例行切开复位钢板内固定。对两组手术相关资料进行比较分析。结果手术时间、切口长度、术中出血量、住院时间及术后并发症等方面比较,弹性髓内钉组优于钢板组。结论相比于钢板内固定,弹性髓内钉治疗儿童股骨骨折愈合率更高,而手术创伤更小,符合微创原则。
Objective To compare the therapeutic effect of elastic intramedullary nailing and plate fixation in the treatment of femoral shaft fractures in children. Methods 88 cases of children with femoral fractures were divided into two groups, 48 cases were fixed with elastic intramedullary nailing and 40 cases were treated with open reduction and internal fixation. The two groups of surgery-related data for comparative analysis. Results The operation time, incision length, intraoperative blood loss, hospital stay and postoperative complications were significantly higher in the elastic nail group than in the steel plate group. Conclusion Compared with the plate fixation, elastic nail treatment of children with higher rate of healing of femoral fractures, and less surgical trauma, in line with the principle of minimally invasive.