Advantages of elastic intramedullary nail in the treatment of closed fracture of the limbs of preschool children
10.3760/cma.j.issn.1008-6315.2017.05.017
- VernacularTitle:弹性髓内钉在学龄前儿童四肢骨干闭合骨折的临床治疗优势
- Author:
Helong DONG
;
Yuxi LI
- Keywords:
Elastic intramedullary nail;
Preschool children;
Closed fracture of limbs
- From:
Clinical Medicine of China
2017;33(5):454-457
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical effect of elastic intramedullary nail in the treatment of preschool children limb fractures.Methods Ninety-two 92 cases closed fracture of extremities of preschool children in Children ′s Hospital of Shenyang from July 2014 to February 2016 were selected,and randomly divided into control group and observation group,46 cases in each group.The control group were treated with open reduction and plate fixation treatment,observation group were treated with elastic intramedullary nail treatment.The surgical effect and prognosis index and the incidence of postoperative complications of two groups were compared.Results The operation time,the amount of bleeding,hospitalization time,fracture healing time and loading time of the observation group were significantly lower than the control group((63.57±3.12) min vs.(94.72±6.49) min,(52.43±11.35) ml vs.(134.26±23.50) ml,(6.10±1.44) d vs.(15.83±2.61) d,(8.34±1.13) weeks vs.(12.05±1.62) weeks,(10.85±2.71) weeks vs.(16.94±3.25) weeks,t=29.34,21.29,22.14,12.74,9.76,P<0.01).The incidence of complications in the observation group was 6.52%(3/46),significantly lower than the control group(19.54%(9/46),χ2=5.06,P=0.02).Conclusion The elastic intramedullary nail for treatment of fractures of extremities shaft closed preschool children can guarantee good clinical effect,and has little trauma high quality,healing of fracture,less postoperative complications and easy care,is a kind of efficient treatment technology,can be widely developed in clinic.
