Elastic Intramedullary Nail Combined with Skin Traction on the Treatment of Peritrochanteric Fracture of the Femur in Preschool Children
Objective:To compare the clinical efficacy of elastic intramedullary nail and skin traction in hip flexion and knee flexion position on the treatment of peritrochanteric femoral fractures in preschool children.Methods:A total of 50 pre-school children with peritrochanteric fractures treated from January 2020 to August 2023 were selected.According to dif-ferent treatment methods,they were divided into two groups:25 cases in the elastic intramedullary nail group were treated with closed reduction and elastic intramedullary nail;In the skin traction group,25 cases were treated with manual reduc-tion and skin traction combined with brace in hip flexion and knee flexion position.The fracture healing time,follow-up time,hip function,and complications were recorded and compared between the two groups.Results:A total of 50 children were followed up,and there was no significant difference in the follow-up time between the two groups(P＞0.05).There was no significant difference in fracture healing time between the two groups(P＞0.05).According to the Sanders score,there was no significant difference in the excellent and good rate of hip joint function between the two groups(P＞0.05).There was no significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion:Both elastic intramedullary nail and skin traction can achieve good clinical results on the treatment of femoral peritrochanteric fractures in preschool children.The elastic intramedullary nail group has better stability,but the nail needs to be removed under anesthesia again.In the skin traction group,the fracture end was easy to shift during the process of traction,which often required multiple adjustments,increasing the pain and radiation of the children,but there was no incision and no anesthesia.
femurintertrochanteric fracturessubtrochan-teric fractureselastic intramedullary nailskin tractionpre-school children
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