摘要
目的观察采用空心钉固定治疗小儿股骨颈骨折的临床疗效.方法自2001年以来采用C型臂引导下原位或切开复位空心钉固定治疗小儿股骨颈骨折13例,均为经颈和基底部骨折,其中男7例,女6例,年龄7～14岁.单纯采用空心钉固定7例,空心钉加克式针固定5例,髂骨大块植骨双空心钉固定治疗病理性股骨颈骨折1例.单纯空心钉固定最多为2枚,空心钉加克式针固定者则采用空心钉一枚加2根克式针固定.术后单髋人位石膏固定8～12周,拆石膏后每3个月复查一次.随访年限10个月～4年.结果13例骨折愈合良好,但有1例发生股骨头坏死.结论空心钉固定治疗小儿股骨颈骨折操作方法简单、有效、损伤小、并发症少.
Objective To investigate the clinical results of internal fixation for femoral neck fractures in childhood. Methods Thirteen cases （male 7 and female 6, aged from 7 to 14 years） with fractures of the femoral neck were treated by closed or open reduction and internal fixation with cannulated screw and K-wires under fluoroscopic guidance since 2001. Spica splint was applied for 8～12 weeks after operation. All of them were followed up from 10 months to 4 years after treatment. Results All cases got good healing in fracture, only one with slight avascular necrosis of the femoral head. Conclusions Internal cannulated screw fixation under fluoroscopic guidance is a simple procedure with less injury and comolication for children with femoral neck.
出处
《中华小儿外科杂志》
CSCD
北大核心
2005年第11期567-568,共2页
Chinese Journal of Pediatric Surgery
