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儿童股骨颈骨折的治疗

Hits: 2391 Download times: 1322 Received:June 14, 2000

作者	Author	单位	Unit	E-Mail
魏美钢	WEI Mei gang	西安交通大学第二附属医院,陕西西安710004	The 2nd Affiliated Hospital of Xi'an Jiaotong University,Shanxi Xi'an,710004
王献海	WANG Xian hai	焦作矿务局中央医院,河南焦作
王坤正	WANG Kun zheng	西安交通大学第二附属医院

期刊信息：《中国骨伤》2001年14卷，第11期，第662-663页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：探讨儿童股骨颈骨折的治疗方法与预后的关系,减少儿童股骨颈骨折的远期并发症。

方法：26例患儿先行短暂牵引复位后行三枚交叉光滑细克氏针闭合穿针内固定,其中经骨骺型2例、经颈型12例、经基底型11例、粗隆型1例,术后早期不负重功能锻炼。

结果：术后24例经1到7年随访分析,全部骨性愈合,据毛宾尧儿童股骨颈骨折疗效判定标准,22例功能良好,无股骨头无菌性坏死发生。

结论：三枚交叉细克氏针闭合穿针内固定、早期积极功能锻炼、晚期负重是治疗儿童股骨颈骨折的有效方法。

[关键词]:股骨颈骨折骨折固定术.内预后

Treatment of femoral neck fractures in children

Abstract:

Objective:To explore the relation between the method of treatment and prognosis and to reduce the late complication of femoral neck fractures in children.

Methods:26 cases of femoral neck fractures in children were internally fixed by 3 thin Kirschner pins,including Delbet Colonna type Ⅰ 2 cases,Ⅱ 12 cases,Ⅲ 11 cases,Ⅳ 1 case.All had exercise in bed 2～3 weeks after surgery.

Results:24 cases were followed up from 1 to 7 years and all had solid bony union.According to the criteria of MAO Bin yao’s,22 cases had excellent hip function and no necrosis of femoral head occurred.

Conclusion:3 thin Kirschner pins internal fixation,early exerce and weight earing in the late period is effective methods of treatment for femoral neck fractures in children.

KEYWORDS:Femoral neck fracture Fracture fixation internal Prognosis

引用本文，请按以下格式著录参考文献：

中文格式:	魏美钢,王献海,王坤正.儿童股骨颈骨折的治疗[J].中国骨伤,2001,14(11):662~663
英文格式:	WEI Mei gang,WANG Xian hai,WANG Kun zheng.Treatment of femoral neck fractures in children[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(11):662~663

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