[1]吴卫宾* 杜云峰 王红星 赵东华 杨小超 梁峰.外固定架三维结构固定儿童股骨远端A型骨折[J].中国微创外科杂志,2022,01(5):436-440.
　Wu Weibin,Du Yunfeng,Wang Hongxing,et al.Threedimensional Fixation With External Fixator for Type A Fractures of Distal Femur in Children[J].Chinese Journal of Minimally Invasive Surgery,2022,01(5):436-440.
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外固定架三维结构固定儿童股骨远端A型骨折()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年5期
页码:
436-440
栏目:
经验交流
出版日期:
2022-07-21

文章信息/Info

Title:
Threedimensional Fixation With External Fixator for Type A Fractures of Distal Femur in Children
作者:
吴卫宾* 杜云峰 王红星 赵东华 杨小超 梁峰
(焦作煤业(集团)有限责任公司中央医院骨二科，焦作454000)
Author(s):
Wu Weibin;  Du Yunfeng;  Wang Hongxing;  et al.
Second Department of Orthopedics, Central Hospital of Jiaozuo Coal Industry (Group) Co., Ltd, Jiaozuo 454000, China
关键词:
儿童; 股骨远端骨折; 外固定架固定; 三维结构
Keywords:
Children; Distal femoral fracture; External fixator fixation; Threedimensional structure
文献标志码:
B
摘要:
目的探讨应用外固定架三维结构固定儿童股骨远端A型骨折的疗效。方法2016年9月~2020年12月，对13例儿童股骨远端A型骨折应用外固定架三维结构固定。年龄7~13岁，平均10.6岁。体重36~59 kg，平均47.7 kg。均为闭合伤。AO分型A1型9例(除外A1.1型)，A2型2例，A3型2例。受伤至手术时间2~6 d，平均3.5 d。Kolmert标准评定疗效。结果术后均有钉眼周围红肿及少量渗出，无钉道感染。术后3个月骨折均愈合良好并拆除外固定架。按Kolmert标准，优12例，良1例。术后随访8个月~4年，平均15.5月，无再骨折。结论对儿童股骨远端A型骨折，应用外固定架进行简单且稳定的结构固定，操作简单，疗效满意。
Abstract:
ObjectiveTo explore the clinical effect of threedimensional fixation with external fixator for type A fractures of distal femur in children.MethodsFrom September 2016 to December 2020, 13 children were treated with threedimensional fixation with external fixator for type A fractures of distal femur. The age ranged 7-13 years old, with an average of 10.6 years old. The body weight was 36-59 kg, with an average of 47.7 kg. All were closed injuries. According to the AO classification there were 9 cases of type A1 (excluding type A1.1), 2 cases of type A2 and 2 cases of type A3. The time from injury to operation was 2-6 d (mean, 3.5 d). The curative effect was evaluated by the Kolmert standard after operation.ResultsAfter the operation, all the patients had redness, swelling and a small amount of exudation around the needle site, and there was no needle site infection. The fractures healed well and the external fixator was removed after 3 months. According to the Kolmert standard, 12 cases were excellent and 1 case was good. All the patients were followed up for 8 months to 4 years, with an average of 15.5 months. No refracture occurred.ConclusionFor type A fracture of distal femur in children, external fixator technology is a simple and stable structural fixation with good effect.

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备注/Memo

备注/Memo:
*通讯作者，Email: 397216255@qq.com
更新日期/Last Update: 2022-07-21