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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Comparative Study Using Intramedullary K-wire Fixation Over Titanium Elastic Nail in Paediatric Shaft Femur Fractures
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Comparative Study Using Intramedullary K-wire Fixation Over Titanium Elastic Nail in Paediatric Shaft Femur Fractures

机译：髓内钛合金钉固定髓内K线固定治疗小儿股骨骨折的比较研究

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Background: Fracture shaft femur is common paediatric trauma leading to significant morbidity. Conservative treatments available are associated with prolonged periods of immobilization. Use of flexible intramedullary implant allows early rehabilitation in diaphyseal fractures of femur in children.Aim: The aim of the present study is to compare fixation of diaphyseal femur fracture by titanium elastic nail and intramedullary K-wires in children. Setting and Design: Prospective randomized study in a tertiary care hospital.Material and Methods: Fifty-two children between 6 years and 14 years of age with femoral shaft fracture were assigned either in Group I or Group II based on computer generated random numbers. In Group I closed percutaneous intramedullary K- wire fixation and in Group II closed percutaneous intramedullary titanium elastic nail was used to fix the fractures. Partial weight bearing was allowed after 6 weeks of surgery and full weight bearing at clinico-radiological union.Results: Average time of radiological union was 6 to 10 weeks in both groups. In both the groups two cases had entry site irritation which resolved with early implant removal. One case in both the groups had unacceptable mal-alignment. Both the groups had few cases of limb-length discrepancy, which was in acceptable limit, except two cases of TENS. There was no statistically significant difference between the results of both the groups. But, using K-wires significantly reduced the cost of treatment.Conclusion: Most of such fractures in our society are neglected because of high cost of treatment. Providing a cheaper alternative in form of K-wires may be beneficial for the patients from low socio-economic status.
机译：背景：股骨干骨折是常见的儿科创伤，导致严重的发病率。可获得的保守治疗与固定时间延长有关。使用柔性髓内植入物可以使儿童的股骨干dia端骨折得以早期康复。目的：本研究的目的是比较钛弹性钉和儿童髓内K线固定股骨干端的情况。设置与设计：在三级医院进行的前瞻性随机研究。材料与方法：根据计算机生成的随机数，将52例6岁至14岁之间股骨干骨折的儿童分为I组或II组。在第一组封闭的经皮髓内K线固定术，在第二组封闭的经皮髓内钛弹性钉固定骨折。手术6周后允许部分负重，而临床放射学联合检查则负重。结果：两组的平均放射联合检查时间为6至10周。在这两组中，两个病例都有进入部位的刺激感，并且可以通过早期取出种植体解决。两组中的一个病例均具有不可接受的错位。除TENS的2例外，其余两组的肢长差异均在可接受的范围内。两组结果之间无统计学差异。但是，使用K线可大大降低治疗费用。结论：由于治疗费用高，我们社会中大多数此类骨折都被忽略了。以较低的K线形式提供更便宜的替代品可能对低社会经济地位的患者有益。

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