摘要
目的探讨闭合复位中空松质骨螺钉固定治疗儿童股骨颈骨折的临床疗效.方法应用闭合复位经皮中空松质骨螺钉内固定治疗儿童股骨颈骨折15例.骨折按Delbet分型：Ⅱ型9例、Ⅲ型5例、Ⅳ型1例.结果随访1～2年（平均1.3年）,15例患者均愈合良好,1例股骨颈骨折股骨头变扁坏死.无股骨头骺板早闭发生,未发现髋内翻及下肢短缩.功能评价12例优（80%）,3例良（20%）.结论闭合复位中空松质骨螺钉固定治疗儿童股骨颈骨折比克氏针固定更具有生物力学优势,是治疗儿童股骨颈骨折的理想方法.
Objective To investigate the clinical effect of closed reduction and cannulated screws used in children with femoral neck fracture. Methods The age range was between 6 and 14 years（mean= 10.2 years）. Male to female ratio was 4：1. Nine cases were of Delbet type Ⅱ（transcervical） fractures,5 cases were of type Ⅲ（cervicotrochanteric） ,and 1 case were of type IV （intertrochanteric） fractures, here no case was of Delbet type Ⅰ （transepiphyseal separation）. Fifteen children with femoral neck fracture were treated with double cannulated screws fixation. Results All cases were followed up from 1 to 2 years and healed well. According to functional assessment, 12 were excellent and 3 were good. Conclusion Percutaneous double cannulated screws fixation is an ideal method for the treatment of femoral neck fracture in children.
出处
《中国基层医药》
CAS
2006年第5期814-815,共2页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市科技局计划资助项目(Y2003A020)
关键词
股骨颈骨折
骨折固定术
内
儿童
Femoral neck fractures ~Fracture fixation, internal
Children
