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目的:探讨钛弹性髓内钉对儿童Winquist II、III型股骨干骨折的治疗效果。方法 :儿童Winquist II、III型股骨干骨折23例中,II型5例,III型18例,均于全麻下行股骨干骨折钛弹性髓内钉内固定术。术后定期随访,记录骨折愈合时间、术后并发症,行功能评分。结果:23例患者术后均获随访9~12个月,平均10个月,骨折全部骨性愈合,无严重并发症发生。按Flynn评分标准:优21例,良2例,优良率100%。结论:钛弹性髓内钉治疗Winquist II、III型儿童股骨干骨折,能获得良好的治疗效果。相比其他治疗方法,具有微创、生物力学固定、早期功能锻炼、并发症低等优点。
Objective: To investigate the therapeutic effect of titanium elastic intramedullary nailing on children’s fracture of Winquist type II and III. Methods: Among 23 cases of femoral shaft fracture of type Winquist II and III, 5 cases of type II and 18 cases of type III were treated with titanium elastic nailing and internal fixation of femoral shaft fractures under general anesthesia. Regular follow-up after surgery, record fracture healing time, postoperative complications, line function score. Results: Twenty-three patients were followed up for 9 to 12 months with an average of 10 months. All fractures healed without any serious complication. According to Flynn score: excellent in 21 cases, good in 2 cases, excellent and good rate of 100%. Conclusion: Titanium elastic intramedullary nailing in the treatment of Winquist II and III children with femoral shaft fractures, can obtain good therapeutic effect. Compared with other treatments, with minimally invasive, biomechanical fixation, early functional exercise, low complication.