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小儿股骨干骨折在临床较为多见,多为重物直接打击、车轮辗轧直接暴力致伤或者是高处坠落伤、机器扭转伤等间接暴力作用所致伤。传统治疗方法为石膏外固定或切开内固定复位术,由于石膏固定易松脱,效果欠佳。手术治疗则创伤及损害大、费用高、有手术风险,患儿家属难以接受,笔者经2006年7月~2012年12月选择采用手法复位杉树皮夹板加皮牵引治疗小儿股骨干骨折120例,痊愈120例,现总结如下。
Pediatric femoral shaft fractures are more common in clinical practice, mostly direct hit by heavy objects, direct rolling injuries caused by rolling wheels or falling crashes from height, torsion injuries and other indirect injuries caused by the machine. The traditional treatment for plaster external fixation or incision and internal fixation, plaster fixation easy to loose, the effect is not good. Surgical treatment of trauma and damage, high cost, surgical risk, family members of children with unacceptable, the author by July 2006 ~ December 2012 choose to use manual reduction of cedar splint plus skin traction treatment of pediatric femoral shaft fractures in 120 cases , Cured 120 cases, are summarized as follows.