摘要
目的 介绍不同方法治疗儿童股骨颈骨折的临床效果,并对治疗方法进行评估。方法 41例儿童股骨颈骨折,年龄8～14岁,男32例,女9例,右侧27例,左侧14例,陈旧性骨折3例。骨折类型按Ingram分型:Ⅰ型(骨骺分离)4例,Ⅱ型(经颈骨折):28例,Ⅲ型(经颈转子型)8例,Ⅳ型(转子间骨折)1例。持续牵引治疗7例,透视闭合复位内固定9例,切开复位内固定17例,切开复位内固定带血管蒂骨瓣植入8例。结果 41例患儿治疗后获随访2～5年,股骨颈骨折愈合41例,股骨头骨骺早闭9例,髋内翻畸形8例,股骨头缺血坏死19例,头坏死发生率46.54％。其中闭合复位内固定法治疗并发症最低。结论 透视闭合复位,内固定治疗儿童股骨颈骨折手术创伤小,疗效好,并发症低。
Objective: To introduce and evaluate different therapeutic methods of children's femoral neck fracture. Methods: There were 41 cases of children' s femoral neck fracture with the age of 8 to 14 years, including 32 males and 9 females, with 14 cas- es on the left sides and 27 cases on right sides.3 cases were old fractures. The category of fractures was classified according to the methods of Ingram.4 cases were transepiphyseal separations (typeⅠ) .28 cases were transcervical fractures (type Ⅱ) .8 cases were cervicotrochanteric fractures(typeⅢ )and 1 case was intertrochanteric fracture (typeⅣ ) .7 cases underwent continuous traction. 9 cases underwent closed reduction under fluoroscopy and internal fixation. 17 cases underwent open reduction、internal fixation and 8 cases underwent open reduction、internal fixation and vascular bone graft. Results:41 cases were followed for 2 - 5 years after treatments and showed union of femoral neck fracture. Early closure of epiphysis happened in 9 cases 8 cases displayed deformities of coxa vara and 46.54 per cent of the femoral head necroses. The least complications taken place in the therapeutic group of closed reduction under fluoroscopy and internal fixation. Discussion: In the treatment of children's femoral neck fracture, closed reduction and internal fixation showed characteristics of good results####little trauma and complications.
出处
《海南医学》
CAS
2003年第5期7-9,共3页
Hainan Medical Journal
