论文部分内容阅读
目的:为提高儿童股骨颈骨折疗效,分析其并发症产生的原因。方法:对13 例儿童股骨颈骨折中无移位者采用髋人字石膏固定,有移位者牵引手法闭合复位后采用经皮克氏针内固定术。结果:经最短8 个月、最长12 年的随访,骨折无移位者无并发症,骨折有移位者股骨头缺血性坏死1 例,髋内翻2 例,颈短缩畸形1 例。结论:儿童股骨颈骨折少见,但并发症发生率高,及早诊断和正确治疗尤显得重要。采用经皮克氏针内固定治疗儿童股骨颈骨折有操作较简便、损伤小、内固定稳固等优点,值得推广应用。
Objective: To improve the efficacy of femoral neck fractures in children, analyze the causes of complications. Methods: Thirteen children with femoral neck fracture without displacement were treated with Hip gypsum fixation, with displacement of the traction method closed reduction using percutaneous Kirschner wire fixation. Results: After a minimum of 8 months and a maximum of 12 years of follow-up, there was no complications of fracture without displacement. There were 1 case of avascular necrosis of femoral head in displaced fracture, 2 cases of volar varus, 1 case of shortening neck . Conclusion: Femoral neck fractures in children rare, but the high incidence of complications, early diagnosis and correct treatment is particularly important. The use of percutaneous Kirschner wire fixation of femoral neck fractures in children with simple operation, less damage, internal fixation, etc., it is worth promoting the application.