1990年以来作者用髓内针治疗小儿股骨干骨折20例,均施开放穿针。随访1～8年,平均5年,所有骨折均愈合。16例获优,4例获良,优良率近100%。大粗隆骨骺和股骨生长并未受到穿针影响。作者认为其适应症:①股骨中1/3或上1/3横断和短斜形及多段形骨折;②陈旧骨折畸形愈合;③钢板等内固定失败者。禁忌症:①新鲜长斜形或螺旋形骨折;②严重粉碎性骨折;③下1/3股骨干骨折。 Since 1990, the authors used intramedullary nail treatment of 20 cases of pediatric femoral shaft fractures, were opened to open the needle. All patients were followed up for 1 to 8 years with an average of 5 years. All the fractures healed. 16 cases were excellent, 4 cases were good, excellent rate of nearly 100%. The greater trochanter epiphyseal and femoral growth has not been affected by needle. The author believes that its indications: â ’¢ 1/3 or 1/3 of the femur transverse and short bevel and multi-segment fractures; â’ ¡old fracture malunion; â ’¢ steel and other internal fixation failure. Contraindications: ① fresh long oblique or spiral fractures; ② severe comminuted fracture; ③ lower 1/3 femoral shaft fracture.