稳定小儿髓内骨干骨折。

A Prokop, A Jubel, U Hahn, K E Rehm
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引用次数: 0

摘要

儿童期椎体骨折髓内固定(pracimvo -钉钉)允许完全负重,无需石膏。早期骨折愈合应尊重骨折周围的软组织,并采用远端或近端入路。在斜向骨折和横向骨折中,推荐采用股骨干骨固定术。髓内固定似乎是一个很好的替代方法,而不是铸造小腿轴骨折。前臂不稳定骨折可以髓内治疗,以避免经常观察到的移位、轴向和旋转。原发性体液骨折必须保守治疗。只有在移位性骨折或有额外损伤的情况下,才推荐髓内手术,使其活动范围自由。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Stabilizing intramedullary pediatric shaft fractures].

Intramedullary stabilisation (Prévot-nailing) of shaft fractures in childhood allows full weight bearing without cast. Early fracture healing is seen by respecting soft tissue around fracture and by using distal or proximal approaches. Good indications of femoral shaft osteosynthesis are recommended in oblique and transverse fractures. Intramedullary stabilization seems to be a good alternative method instead of casting calf-shaft fractures. An unstable fracture of forearm may be treated intramedullary to avoid often observed displacement ad axim and rotation. Humoral fractures primary have to be treated conservatively. Only in displaced fractures or in cases with additional injuries an intramedullary procedure with free range of motion is recommended.

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