【摘要】 目的 :探讨改进产伤股骨骨折的治疗方法 ,以使骨折产生的畸形获得最大限度的矫正。方法 :共 14例 ,臀位剖腹产 11例 ,臀位产道分娩 3例 ,成角移位平均 46.3° ,短缩移位平均 1.2cm。采用悬吊位皮肤牵引、固定垫和小夹板固定、四头带固定髋部作对抗牵引等方法。结果 :出院前X线检查 ,除 4例就诊时间超过 1周的病儿留有小于 2 0°成角外 ,其余的短缩和旋转移位已纠正 ,成角移位基本消失。经过 8个月～ 5年 3个月的随访 ,肢体外形好 ,无短缩 ,无跛行。结论 :本组治疗产伤股骨的方法 ,具有纠正骨折畸形明显 ,损伤小 ,并发症少等优点 ,值得临床推广应用。更多还原

【Abstract】 Objective: To explore improvement of treatment methods for birth femoral fracture.Methods:Of 14 patients,breach delivery in 3 cases,abdominal breach delivery in 11 cases.Average angulation 46.3°,average overriding displacement 1.2cm.Overhead skin traction was applied in all patients with soft pad and small splint to fix femoral shaft.Four-head strap to fix pelvic for contra-traction.Results:Radiograms were given before discharge showing satisfactory alignment.Overriding and rotation displacement were corrected completely in all cases,angulation deformity of all patients disappeared except for 4 cases in which angulations were less than 20° because of delayed treatment.The follow up outcomes with 8 months to 5 years and 3 months showed excellent contour,no limp and overriding.Conclusions:This treatment methods have advantages such as slight injury and less complications.It is satisfactory with correcting deformity of femoral fracture.更多还原