PDF(Pubmed)
Abstract：
BACKGROUND: Diaphyseal femur fractures are commonly seen in the paediatric age group as there is an increase in the incidence of road traffic accidents. Titanium elastic nailing system (TENS) and plating are the common methods used for paediatric long bone fracture fixation. The purpose of our study was to evaluate and compare functional and radiological outcomes of paediatric femur diaphyseal fractures treated with locking compression plates and with TENS.
METHODS: Our study included 59 patients diagnosed with femur shaft fracture. Twenty-eight patients included in group one underwent open reduction and internal fixation with locking compression plates and 31 patients in group two underwent open reduction/closed reduction with intramedullary TENS. All post-operation patients were evaluated at four, eight, 10, 12, 16, 20, 24, and 36 weeks. The functional outcome was assessed based on the Flynn scoring system and radiological union based on fracture union on X-ray.
RESULTS: We analyzed our data using the Flynn scoring system. In group one, out of 28 cases treated with locking compression plates, 25 (89%) were excellent, two (7.5%) were satisfactory, and one (3.5%) was poor. In group two, out of 31 cases treated with intramedullary TENS, 26 (83.8%) were excellent and five (16.2%) were satisfactory. In our study, the average union time in group one was 11.4 weeks and in group two was 14.41 weeks. Fracture union was 100% in both groups.
CONCLUSIONS: In our study, we noted that the union of the femur shaft was early with the use of locking compression plates. In TENS, there was less intraoperative blood loss, very minimal postoperative scar, and less soft tissue damage. Also, implant removal was easier compared to locking compression plates.
METHODS: Our study included 59 patients diagnosed with femur shaft fracture. Twenty-eight patients included in group one underwent open reduction and internal fixation with locking compression plates and 31 patients in group two underwent open reduction/closed reduction with intramedullary TENS. All post-operation patients were evaluated at four, eight, 10, 12, 16, 20, 24, and 36 weeks. The functional outcome was assessed based on the Flynn scoring system and radiological union based on fracture union on X-ray.
RESULTS: We analyzed our data using the Flynn scoring system. In group one, out of 28 cases treated with locking compression plates, 25 (89%) were excellent, two (7.5%) were satisfactory, and one (3.5%) was poor. In group two, out of 31 cases treated with intramedullary TENS, 26 (83.8%) were excellent and five (16.2%) were satisfactory. In our study, the average union time in group one was 11.4 weeks and in group two was 14.41 weeks. Fracture union was 100% in both groups.
CONCLUSIONS: In our study, we noted that the union of the femur shaft was early with the use of locking compression plates. In TENS, there was less intraoperative blood loss, very minimal postoperative scar, and less soft tissue damage. Also, implant removal was easier compared to locking compression plates.
摘要：
背景：股骨骨干骨折常见于儿科年龄组，因为道路交通事故的发生率有所增加。钛弹性钉系统（TENS）和钢板是儿科长骨骨折固定的常用方法。我们研究的目的是评估和比较使用锁定加压钢板和TENS治疗的小儿股骨骨干骨折的功能和放射学结果。
方法：我们的研究包括59例诊断为股骨干骨折的患者。第一组28例患者接受了切开复位和锁定加压钢板内固定，第二组31例患者接受了切开复位/闭合复位和髓内TENS。所有术后患者在4岁时进行评估，八,10、12、16、20、24和36周。根据Flynn评分系统评估功能结果，并根据X射线上的骨折愈合评估放射学愈合。
结果：我们使用Flynn评分系统分析了我们的数据。在第一组中,28例采用锁定加压钢板治疗,25（89％）是优秀的，两名(7.5%)令人满意，其中一人(3.5%)较差。在第二组中,在31例接受髓内TENS治疗的病例中，26（83.8％）是优秀的，5（16.2％）是令人满意的。在我们的研究中,第一组的平均愈合时间为11.4周，第二组为14.41周。两组骨折愈合率为100%。
结论：在我们的研究中，我们注意到，股骨轴的联合是早期使用锁定加压板。在TENS中，术中失血较少,术后疤痕极小,减少软组织损伤。此外，与锁定加压钢板相比，植入物的移除更容易。
方法：我们的研究包括59例诊断为股骨干骨折的患者。第一组28例患者接受了切开复位和锁定加压钢板内固定，第二组31例患者接受了切开复位/闭合复位和髓内TENS。所有术后患者在4岁时进行评估，八,10、12、16、20、24和36周。根据Flynn评分系统评估功能结果，并根据X射线上的骨折愈合评估放射学愈合。
结果：我们使用Flynn评分系统分析了我们的数据。在第一组中,28例采用锁定加压钢板治疗,25（89％）是优秀的，两名(7.5%)令人满意，其中一人(3.5%)较差。在第二组中,在31例接受髓内TENS治疗的病例中，26（83.8％）是优秀的，5（16.2％）是令人满意的。在我们的研究中,第一组的平均愈合时间为11.4周，第二组为14.41周。两组骨折愈合率为100%。
结论：在我们的研究中，我们注意到，股骨轴的联合是早期使用锁定加压板。在TENS中，术中失血较少,术后疤痕极小,减少软组织损伤。此外，与锁定加压钢板相比，植入物的移除更容易。
