소아 대퇴 간부 골절의 장기 추시 결과 = Long-term Follow-up of Femoral shaft Fractures in Children

다국어 초록 (Multilingual Abstract)

Femoral shaft fractures in children remain a common but interesting subject of pediatric trauma. The management of these fractures gradually has evolved toward a more operative approach in the past decade. But their treatment by age has become widely accepted. In children younger than 4 years, spica casting has found to render excellent long-term results. For the age group older than 10 years, spica cast are being used with intramedullary fixation. However, for the age group between 4 years and 10 years, no consensus has been found. We reviewed of treatment of the femoral shaft fractures in 27 children age 4 to 10 years between July 1988 and October 1996. Fifteen were treated with early spica casting, the others with flexible intramedullary nails. No nonunions or significant malunion were seen. But patients treated with flexible intramedullary nails were able to do early partial weight bearing and had less immobilization period. Flexible intramedullary nailing of femoral shaft fractures in 4 to 10-year old age group seems to he safeand effective method and may be the treatment of choice.