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KMID : 0361619930280020793
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Journal of the Korean Orthopaedic Association
1993 Volume.28 No. 2 p.793 ~ p.799
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Ender Nailing for Femoral Shaft Fracture in Children
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이충길
권진우/김수용/박재흠
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Abstract
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In children, Fractures of the femoral shaft are commonly treated by various types of traction for about three weeks followed by plaster immobilization.
However, this nonoperative treatment has two major drawbacks ; the first being prolonged hospitalization especially in children over 10 years old, the second being inability to maintain good alignment when there is an associated head injury or
multiple
trauma.
Between April 1990 and June 1992. 21 patients with femoral shaft fractures were treated by means of closed Ender nailing. Which were indicated when the children had an associated head injury or multiple trauma. 11 cases were followed for more
than
12
months and reviewed.
@ES The results were summarized as follows ;
@EN 1. Ender nailings were performed in 6 children over 10 years old and 5 children with head injury or multiple trauma regardless of the patient's age.
2. Ender nails were inserted through retrograde entry in all cases.
3. This procedure allowed early weight-bearing and walking, thus shortened hospital stay (average 4 weeks in patients without head injury or multiple trauma).
4. Complications developed in 2 patients ; entry hole breakage and fracture site comminution in one patient, and mild knee pain in the other patient.
5. Radiologic union was obtained at 11 weeks post-surgery.
6. Authors concluded that closed Ender nailing is very useful method in the management of femoral shaft fracture in children over 10 years old or when there is associated head injury or multiple trauma regardless of patient's age.
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KEYWORD
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