【摘要】 目的总结7例因臀位剖宫产导致的新生儿股骨干骨折的治疗。方法对于5例中上段骨折的患儿,治疗时采用腹部绷带捆扎的骨折固定法,2例中下段骨折患儿采用硬筒纸皮制作的夹板固定。结果骨折临床愈合时,平均成角畸形29.6°,短缩畸形1.52cm,7例病人均得到随访,平均随访时间3年2个月,所有残余畸形均在生长发育过程中得到完全纠正。双下肢等长,患肢功能恢复满意。结论骨折愈合快,自我塑形能力强,是新生儿骨折愈合的特点,对于中上段股骨骨折适于采用腹部固定法,它既可以减少婴儿的不适,又可很好地纠正成角畸形,便于患儿的护理,是一种简单、安全、有效的治疗方法。更多还原

【Abstract】 Objective To analyze the management of femoral shaft fractures caused by cesarean section in neonates. Methods 5 cases with proximal femoral shaft fractures were treated with the method of abdominal fracture fixation. 2 cases with middle and distal parts of femoral shaft fractures were treated with carton splint fracture fixation. Results The average angular and shortening deformity were 29.6°and 1.52cm respectively at the time of clinical union. All the patients were followed up for a mean period of 38 months. The remaining deformities were corrected and remodelled during the period of growth and development. The functions of lower extrimities proved to be normal. Conclusion Rapidity and great capability of self remodeling are the features of the fracture union for the neonates. Abdominal fixation for the infant with proximal femoral shaft fracture is a reasonable way of treatment, for it can not only reduce the discomforts of the infant during the treatment, but also easily correct the angular deformity at the fracture side. Therefore, it is a simple, safe and effective way in management of such a kind of fracture.更多还原