- 期刊
Treatment of Femoral Shaft Fractures in Young Children with Titanium Elastic Nails: Report of Five Cases
並列摘要
Purpose: Various methods have been developed to treat pediatric femoral shaft fractures, including spica casting, external fixation, plating, solid antegrade intramedullary nailing, and elastic intramedullary nailing. In children aged 5 years or younger, early closed reduction and application of a spica cast is recommended for most diaphyseal femoral fractures. In school-aged children, titanium elastic nails (TENs) are commonly used to stabilize femoral fractures. Materials and Methods: This article reports on five patients with femoral shaft fractures who were treated with TENs at our institution from November 2004 to December 2007. The patients consisted of three males and two females with a mean age of 10 years (range, 7-12 years). The mean duration of hospitalization was 7.8 days. Results: All fractures healed without delayed union or nonunion. No complications, including deep or pin-tract infection, were noted. No angular deformities or malalignments were observed during follow-up. In our study, the mean average time to remove of elastic nails was 3.4 months due to skin irritation at insertion site of the femur. Conclusions: The TEN has several advantages over traditional techniques for treatment of long-bone fractures, particularly in the pediatric population, including earlier mobilization, shorter hospital stay, and lower risk of fracture displacement.
延伸閱讀
- Kuo, C. H., & Hsu, T. L. (2018). Clinical Results of the Expandable Intramedullary Nail System in Diaphyseal Fractures of Femur and Tibia. 童綜合醫學雜誌, 12(2), 83-91. https://doi.org/10.3966/207135922018121202003
- Chen, C. Y., Shih, L. Y., Chen, C. Y., Lee, M. S., Yeh, W. L., Shen, C. I., & Hsu, C. C. (2008). Intramedullary Nailing for the Treatment of Isolated Femoral Shaft Fractures-Experience in a Regional Hospital. Journal of Orthopaedic Surgery Taiwan, 25(2), 51-58. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200806-25-2-51-58-a
- 任東輝、楊宜軒、徐偉展（2017）。A Case Report of Acupuncture and Traditional Traumatology Therapy on Femoral Shaft Fracture Patient。中華針灸醫學會雜誌，20(1-2)，1-12。https://www.airitilibrary.com/Article/Detail?DocID=16835875-201712-201805090006-201805090006-1-12
- Lai, H. C. (2017). Neonatal Femoral Fracture: A Case Report. 童綜合醫學雜誌, 11(2), 123-126. https://www.airitilibrary.com/Article/Detail?DocID=20713592-201712-201805170014-201805170014-123-126
- Yang, H. W., Chien, C. S., Cheng, S. C., Lin, S. H., Wang, P. H., Koe, M. Y., Lo, C. W., Huang, P. C., & Chin, L. S. (2006). Ipsilateral Hip and Femoral Shaft Fractures Treated with Reconstruction Nails. Journal of Orthopaedic Surgery Taiwan, 23(4), 111-119. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200612-23-4-111-119-a