[Closed reduction combined with Taylor three-dimensional space stent fixation for supracondylar femoral fracture in children].

Objective: To explore the effectiveness and safety of closed reduction combined with Taylor three-dimensional space stent fixation in treatment of supracondylar femoral fractures in children. Methods: Between July 2008 and July 2016, 20 patients with supracondylar femoral fractures were treated with closed reduction combined with Taylor three-dimensional space stent fixation. There were 14 males and 6 females, with an average age of 10.3 years (range, 6-14 years). The cause of injury was traffic accident in 5 cases, falling from high place in 6 cases, and falling in 9 cases. All fractures were closed fractures. Among them, 12 cases were flexion type and 8 cases were straight type. According to AO classification, 12 cases were rated as type A1 and 8 cases as type A2. The fractures were over 0.5-5.0 cm (mean, 2.5 cm) of the epiphysis line. The time from injury to surgery was 2-8 days (mean, 3.5 days). Postoperative knee joint function was evaluated based on the Kolment evaluation criteria. 结果: 术后患儿均获随访，随访时间 6～24 个月，平均 18.1 个月。术后均无钉道感染、血管神经损伤、外固定架松动、骨折移位、再骨折等并发症发生。所有骨折均愈合，愈合时间 4～6 周，平均 4.5 周。拆除支架时间为 8～12 周，平均 9.5 周。患儿无跛行步态，膝关节功能恢复良好，无骨骺发育异常。末次随访时，参照膝关节 Kolment 评定标准，膝关节功能获优 18 例、良 2 例，优良率为 100%。. 结论: 闭合复位联合 Taylor 三维空间支架固定治疗儿童股骨髁上骨折，具有创伤小、恢复快、能避免对骺板的损伤，骨折愈合率高，能促进患肢功能恢复等优点，是有效治疗手段之一。.