The effect of adolescent-type interlocking intramedullary nail treatment on proximal femur fractures in older children with femoral shaft fractures
Objective To observe the effect of adolescent-type interlocking intramedullary nail treatment on proximal femur fractures in older children(11-16 years old)with femoral shaft fractures.Methods The clinical data of 36 elderly children with femoral shaft fractures were retrospectively analyzed,all of whom received treatment with adolescent-type interlocking intramedullary nail.The hip joint function scores on the healthy side and the affected side were compared before surgery and at the last follow-up,as well as the geometrical parameters of the proximal femur on imaging at the last follow-up,such as neck shaft angle(NSA),articulo-trochanteric distance(ATD),intertrochanteric distance(ITD),articular lesser-trochanteric distance(ALD),and femoral neck diameter(FND).Results Before surgery,the hip joint function score was(80.36±1.33)points on the affected side,which was lower than(94.72±2.51)points on the healthy side(P＜0.05);at the last follow-up,the hip joint function score was(93.25±2.23)points on the affected side,which was higher than(93.25±2.23)points before surgery(P＜0.05);there was no significant difference compared with(94.32±2.34)points on the healthy side(P＞0.05).At the last follow-up,NSA,ATD,ITD,ALD and FND were(131.95±2.52)°,(2.52±0.21)cm,(5.08±0.27)cm,(7.55±0.42)cm and(2.88±0.32)cm on the affected side,and there was no significant difference compared with(132.43±2.77)°,(2.59±0.26)cm,(5.09±0.18)cm,(7.52±0.34)cm and(2.87±0.36)cm on the healthy side(P＞0.05).Conclusion In the treatment of older children with femoral shaft fractures,the use of adolescent-type interlocking intramedullary nails has a small impact on hip joint function and good postoperative recovery,which is worthy of clinical development.
万方数据
维普
