用弹性钉固定 05 至 10 岁儿童股骨柄骨折的功能结果

Ammad Ahmed, Zahid Munir, Iftikhar Muhyuddin, Kashif Jamal, Adeel Hamid, Zaigham Habib, Shuja Uddin
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引用次数: 0

摘要

简介股骨骨折是儿童中最常见的问题之一。在 6-16 岁的儿童中,对于首选的治疗方法还没有达成一致意见。在过去的二十年里,儿童股骨骨折的治疗已逐渐向手术治疗转变。这是因为医疗保健标准要求更快速的康复、尽早出院并回归家庭正常活动。与保守治疗相比,手术治疗可缩短住院时间并尽早活动,在心理、社会、教育和经济方面都有优势:我们的研究旨在根据 Flynn 的标准,确定在一家三甲医院就诊的 5 至 10 岁儿童中,使用弹性钉稳定股骨干骨折的功能性结果的频率:我们于 2021 年 9 月 1 日至 2022 年 3 月 1 日在拉合尔服务医院骨科进行了 "描述性病例系列 "研究:拉合尔服务医院骨外科急诊科在征得知情同意后,招收了 60 名符合选择标准的 5-10 岁患者。在研究人员的协助下,由一个外科团队在全身麻醉的情况下为这些患者实施了股骨骨折手术。在 1、2、3 和 6 个月时对患儿进行了随访。6 个月后,根据 Flynn 的标准对患者的股骨骨折效果进行评估,结果分为优秀、满意和不佳。所有信息均记录在表格中。数据使用 SPSS 版本进行输入和分析。结果:在 60 名患者中,23.3%(14 人)的年龄在 5-7 岁之间,76.7%(46 人)的年龄在 8-10 岁之间,平均年龄为(8.17±1.01)岁。男性占 65.0%(39 人),女性占 35.0%(21 人)。在60名患者中,21.7%(13人)有道路交通事故,63.3%(38人)有跌倒史,15.0%(9人)有其他受伤原因。根据弗林标准,51.7%(31 人)的患者功能结果为优:我们得出的结论是,根据Flynn的功能结果标准,弹性钉在治疗合法选择的儿童股骨干骨折方面具有适度的简便性和令人信服的治疗效果,并可进一步与其他治疗方法进行比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Functional Outcome of Shaft of Femur Fracture Fixation with Elastic Nail in Children Between 05 to 10 Years of Age
Introduction: Femoral fractures are one of the most common issues in the childrens population. Between 6-16 age, there's no strong agreement as to the favored therapy. The therapy of femoral fractures in children has progressively changed towards a more operative tactic within the past two decades. This is because healthcare criteria demand more rapid mobilisation , early discharge and return to family with normal activity. Operative treatment results in short hospitalization and early mobilization, which has psychological, social, educational and economic advantages over conservative treatment. Aims & Objectives: The aim of our study is to determine the frequency of functional outcome with Flynn’s criteria in shaft of femur fracture stabilization with elastic nails in pediatric population between 5 to 10 years of age presenting in a tertiary care hospital. Place and Duration of Study: We conducted ‘Descriptive case series’, in the unit of Orthopedic Surgery, Services Hospital, Lahore from 01-09-2021 to 01-03-2022. Material & Methods: Sixty patients ranging from 5-10 yrs of age, fulfilling the selection criteria were enrolled after the informed consent in the study through the emergency of the Department of Orthopedic Surgery, Services Hospital, Lahore. Surgery for femoral fracture was performed in these patients under general anesthesia by a single surgical team with the assistance of the researcher. The children were followed up at 1, 2, 3, and 6 months. After 6 months, patients were evaluated according to Flynn’s criteria for femoral fracture outcomes with nailing and results were noted as excellent, satisfactory and poor. All the information was recorded in proforma. Data was entered and analyzed using SPSS version. 25.P-value ?0.05 was taken as significant. Results: Out of 60 patients, 23.3 % ( n=14) were in age group of 5-7 years and 76.7 %( n=46) were in age group of 8- 10years and mean age was 8.17±1.01years. 65.0 %( n=39) were male and 35.0 %( n=21) were females. Out of 60 patients, 21.7 % ( n=13) had road traffic accident, 63.3 %( n=38) had history of fall and 15.0 %( n=9) had miscellaneous cause of injury. The frequency of functional outcome according to flynn’s criteria was excellent in 51.7 %( n=31). Conclusion: We concluded that elastic nail is moderately simple to utilize and an compelling treatment for fractures of femoral shaft in legitimately chosen children by applying Flynn's criteria for functional outcome and can further be compared with other treatment modalities.
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