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股骨近端锁定加压钢板治疗儿童股骨转子下骨折临床疗效分析

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摘要 目的探讨股骨近端锁定加压钢板（LCP）治疗儿童股骨转子下骨折的临床疗效分析。方法回顾性分析2009年8月至2014年12月该院采用LCP治疗51例儿童股骨转子下骨折患儿的临床资料,记录所有患儿的手术时间、术中出血量、手术切口长度、术后引流量、住院时间及取钢板时间;综合评价骨折愈合及髋关节功能情况,髋关节功能按髋关节Sanders评分标准进行评分。结果所有患儿均获随访,随访时间5~47个月,平均28.5个月,所有患儿均未出现伤口感染、钢板及螺钉断裂、骨不连、肢体旋转畸形、髋内翻、股骨头坏死、再骨折等并发症。20例患儿拆除支具固定后出现膝关节屈曲功能受限,经过1~2周功能锻炼及下床适应后基本恢复正常。5例随访时间超过2年半的患儿出现患肢长于对侧（〈15 mm）,但未出现明显跛行及长距离行走疲劳;1例患儿因手术切口出现瘢痕增生,但无明显瘢痕挛缩及日常活动受限。所选患儿中2例出现螺钉松动。髋关节Sanders评价结果显示：优46例,良3例,可2例,差0例。结论采用LCP治疗儿童股骨转子下骨折具有固定牢靠、治愈率高、并发症少,且符合儿童股骨近端解剖学特点,可作为治疗儿童股骨转子下骨折的选择之一。
作者 何忠平 覃佳强
机构地区 重庆医科大学附属儿童医院骨科二病房
出处 《现代医药卫生》 2015年第14期2152-2154,共3页 Journal of Modern Medicine & Health
基金 国家临床重点专科建设资助项目(国卫办医函[2013]544)
关键词 骨板 骨折 骨折固定术 股骨头坏死 儿童
分类号 R683.42 [医药卫生—骨科学]
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参考文献18

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现代医药卫生
2015年 第14期

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