关键词: 儿童, 骨折, 弹性髓内钉, 股骨干

Abstract: 【Abstract】 Objective To investigate the efficacy of elastic intramedullary nailing fixation for the treatment of children′ s femoral shaft fracture and to review published literature. Methods Between August 2003 and June 2014，35 patients（28 males and 7 females）with a mean age of 9.2 years（range from 5 to 13 years）were treated with the plate fixation in our institute. The hospital stay, operative time， surgical incision，intraoperative blood loss, full weight bearing time, time of fracture healing and complications were evaluated and reviewed by literaturce. Results The mean surgical time was 65 min （range from 45 to 95 min）. The mean blood loss was 70 mL. The mean period of hospital stay was 8 days （range from 6 to 14 days）. All fractures recovered with the mean time of fracture healing of 7.5 weeks （range from 6 to 9 weeks）after mean 14 months（range from 6 to 20 months）follow up. No nonunion, delayed union, infection, refracture occurred during fllow?up. Two patients experienced pain due to the irritation of nail end and relieved after removal of nail. Three cases presented with shortening of wound legs and 12 cases experienced overgrowth, within 1.5 centimeter leg length discrepancy at one?year?followup. Spontaneous recovery was observed in all cases during period of follow?up. Excellent rate was 89% according to the score system of Flynnetal. Conclusion Elastic intramedullary nail fixation is a minimal invasive and effective method to treat the children′s femoral shaft fractures.

Key words: children, femoral shaft, fracture, elastic intramedullary nail