摘要
目的对治疗儿童股骨颈骨折的手术方法进行探讨。方法对十余年来20例儿童股骨颈骨折的患儿用三种术式即(1)腓骨骨栓骨膜游离移植内固定;(2)可吸收拉力螺钉内固定;(3)X线电视监控下金属加压螺钉内固定治疗。结果三种手术方法比较,腓骨骨栓骨膜游离移植不会引起组织不良反应,植入腓骨与股骨颈融为一体,且不需取出内固定物,可吸收拉力螺钉可避免金属内固定物带来的应力遮挡,骨质疏松等现象,且不需取腓骨,亦无需二次手术取出内固定物,而X线电视监控下金属加压螺钉内固定方法手术时间短,创伤小。三种手术方法均存在股骨头坏死,髋内翻等并发症。结论采用何种手术方法治疗儿童股骨颈骨折要根据伤情,骨折类型,术前复位情况来具体分析综合考虑。
Objective To study different surgical methods on femoral neck fracture in children.Methods Three kinds of method including1)Internal fixation with free fibular embolus membrane grafting,2)Internal fixation with absorbable stress screw,3)Internal fixation with metallic compressive screw under x-ray television monitoring have been taken to treat20cases of femoral neck fracture in children in the last10～20years.Results Three measures were compared;Internal fixation with free fibular embolus membrane grafting had no produce adverse reaction of tissue,the implanted fibular embolus and the femoral head had union each other,need not to draw off the fixator.Internal fixation with absorbable stress screw can avoid stress obstruction caused by metallic fixator,osteoporosis,etc,need not to draw off the fibular embolus and to have another operation for the fixator,internal fixation with metallic compressive screw under X-ray television monitoring had an advantage of lessened surgical durance,less injury.All these ways above have complications such as;head necrosis,hip entropion,etc.Conclusion Selection of surgical method should be comprehensively considered according to the injury degree,type of fracture,fracture reduction before operation.
出处
《临床小儿外科杂志》
CAS
2003年第2期84-86,共3页
Journal of Clinical Pediatric Surgery
