摘要
目的探讨早期手术空心钉内固定治疗儿童股骨颈骨折的临床效果。方法回顾性分析1994年11月至2008年11月使用空心钉内固定治疗的18例儿童股骨颈骨折的临床资料。其中，早期手术和延迟手术病例各9例，包括DelbetⅡ型12例和Ⅲ型6例。平均受伤年龄11岁。所有病例均随访至骨折愈合后，平均随访时间3．1年。结果无骨折并发症11例；余7例中发生股骨头缺血坏死5例，骺早闭6例，患肢短缩2例，延迟愈合1例和软骨溶解1例。骨折分型、受伤时年龄、骨折移位程度以及手术时机等因素可影响股骨头缺血坏死和骺早闭的发生率。结论早期手术空心钉内固定可有效治疗儿童股骨颈骨折并明显减少骨折并发症的发生。骨折类型、受伤时年龄、骨折移位程度及手术时机等因素可影响儿童股骨颈骨折后股骨头缺血坏死和骺早闭等并发症的发生。
Objective Early stage of internal fixation using cannulated screw for therapy of fem- oral neck fractures in children was not widely used in clinics. The clinical analysis for 18 cases of chil- dren undertaking internal fixation using cannulated screw due to femoral neck fractures in our depart- ment was conducted,aiming to evaluate the clinical efficacy for this device. Methods 18 cases of chil- dren （the mean age was 11 years） underwent internal fixation using cannulated screw due to femoral neck fractures in our department between November 1994 and November 2008, and their clinical data was retrospectively analyzed. The early operation and delayed operation was respectively involved in 9 cases,and all patients included Delbet type Ⅱ in 12 cases and type Ⅲ in 6 cases. All cases were fol- lowed-up until their fractures healed. The mean follow-up time was 3. I years. Results No complica- tion was found in 11 cases. The remains were complicated with avascular necrosis in 5 cases, premature physeal closure in 6 cases, shortening of affected limb in 2 cases, delayed healing in 1 case and chon- drolysis in 1 case. Conclusions Early stage of internal fixation using cannulated screws can bring bet- ter efficacy to children with femoral neck fractures and reduce the complication rate. Although these, the fracture classification, age, displacement and operation timing are the important factors to have effect on the occurrence of avascular necrosis and premature physeal closure.
出处
《中华小儿外科杂志》
CSCD
北大核心
2012年第12期932-935,共4页
Chinese Journal of Pediatric Surgery
关键词
股骨颈骨折
儿童
骨折固定术
内
Femoral neck fractures
Child
Fracture fixation,internal
