闭合复位刚性髓内钉治疗大龄、高体重儿童及青少年股骨干骨折

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Abstract Objective To explore the close reduction and rigid intramedullary nailing fixation of femoral shaft fracture in older and over-weighted children and adolescent. Methods Our hospital used closed reduction rigid intramedullary nail internal fixation to treat 25 cases of older and over-weighted children and adolescent with femoral shaft fractures from January 2010 to June 2018.There were 19 males and 6 females，18 cases had the left side fracture and 7 cases had the right side fracture.The patients had an average age of (13.52±2.49) years (range：10~18) and a average weight of (50.35±7.54) kg (42~75).We analyzed the postoperative clinical，radiological results and complications.Results All patients had no complications such as avascular necrosis of femoral head，proximal femoral deformity，unequal length of both lower limbs，delayed healing and non-union of bone，dysfunction and other complications.One of them (4%) developed postoperative infection，which had been cured.At the last follow-up，Harris function score and knee function function AKS score：20 cases were excellent，80%；4 cases were good，16%；1 case was acceptable，4%.Conclusion Femoral shaft fractures in older and over-weighted children and adolescent are extremely challenging fractures.The use of closed reduction rigid intramedullary internal fixation can achieved satisfactory treatment results and is a feasible treatment option.

Key words： closed reduction rigid intramedullary nailing femoral fractures children adolescent

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