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首页> 外文期刊>Bangladesh Journal of Medical Science >A comparative study of surgical management of subtrochanteric fractures in children
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A comparative study of surgical management of subtrochanteric fractures in children

机译：儿童股骨转子下骨折手术治疗的比较研究

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Introduction: Subtrochateric femoral fracture is a major cause of morbidity and mortality in patients with lower extremity injuries. There have been no studies that have specifically looked at the management of subtrochanteric femoral fractures in skeletally immature adolescents. It was the purpose of this study to investigate the treatment of this injury in this unique patient population. Methods: This study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from July 2006 to November 2008. Thirty-four patients were recruited from Emergency and out patient department having closed subtrochanteric femoral fracture. All patients were operated under general or spinal anesthesia. All patients were followed for twelve months. Results: All children achieved union in a mean time of 10 weeks (range from 6 - 16 weeks) depending on the type of long bone. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The mean follow-up period was 28 months (17-48 months). Complications were recorded in 4 (11.77%) patients and included: two entry site skin irritations, one protrusion of the wires through the skin and one delayed union. The results were excellent in 97.06% and good in 2.97% patients. Conclusions: We conclude that Rigid and close interlocking nailing between the age of 9-16 years offered excellent fracture stability allowing early mobilization (early weight bearing) and joint motion in comparisons to the other groups and between the age of 6-8 years titanium elastic nail and bridging plate offered excellent result.DOI: http://dx.doi.org/10.3329/bjms.v11i2.9664 Bangladesh Journal of Medical Science Vol. 11 No. 02 April 2012: 91-97
机译：简介：股骨转子下骨折是下肢受伤患者发病和死亡的主要原因。尚无专门针对骨骼未成熟青少年股骨转子下股骨骨折的治疗方法的研究。这项研究的目的是调查这种独特患者群体中这种损伤的治疗方法。方法：本研究于2006年7月至2008年11月在M.M.医学院的整形外科进行。从急诊科和门诊部招募了34例股骨转子下闭合性骨折患者。所有患者均在全身或脊髓麻醉下进行手术。所有患者均随访十二个月。结果：根据长骨的类型，所有儿童平均在10周内（从6周到16周不等）达到愈合。在8.8周的平均时间内可以承受全部重量。平均住院时间为9.8天。平均随访期为28个月（17-48个月）。记录了4例（11.77％）患者的并发症，包括：2次进入部位皮肤刺激，1条导线穿过皮肤突出和1次延迟愈合。结果极佳，达到97.06％，良好，达到2.97％。结论：我们得出的结论是，与其他组相比，年龄在9-16岁之间的刚性和紧密互锁钉具有出色的骨折稳定性，允许早期动员（早期承重）和关节运动，并且弹性钛的年龄在6-8岁之间指甲和桥接板提供了出色的效果。DOI：http：//dx.doi.org/10.3329/bjms.v11i2.9664 Bangladesh Journal of Medical Science Vol。 2012年4月11日11日：91-97

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