| ABSTRACT Application of elastic stable intramedullary nail in treating bilateral femoral shaft fractures in children LIAO Wei, Cai Pan, Zhao Ding-yun, WU Shao-kun, YAN Sun-fang, YANG Lei（The 2nd Affiliated Hospital of Medical College of Wenzhou，Wenzhou 325027，Zhejiang，China ）
ABSTRACT Objective：To discuss the curative effect of treatment with elastic intramedullary nail in children＇s bilateral femoral shaft fractures .Methods：seven cases （14 femoral shaft fractures） were treated by elastic intramedullary nail including 5 male and 2 female．The age ranged from 3 to 13years,mean 8．3years． The cases are all closed fractures．Two cases associated with brain injuries and three cases associated with chest injuries．One case associated with fracture of calcaneus.One case associated with injury bladder.with no nerve and blood vessel injury.All cases were treated with closed reduction and internal fixation with elastic intramedullary nail．A cast had been used after operation for a month in two cases． Results：All the patients were followed up for 21 to 37 months，averaged 30.3 months. No compilications of wound, No displacement and failure, No delayedunion and malunion．No deformity. The cases occurrenced compilications including one cases of double lower limbs to differ (length differences:5mm). Conclusion：Treatment of femoral shaft fractures in children＇s with elastic nail according with biological principle ,less trauma, less compilication, outstanding effect ,is a good way to treat bilateral femoral shaft fractures resulted from high-energy injuries.
Key words: Child; bilateral;femoral shaft fractures ;elastic stable intramedullary nailing.
|
