| 外固定架联合单髋石膏治疗儿童股骨粗隆下骨折 |
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Received:October 20, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 谭虎成 |
TAN Hu-cheng |
三峡大学人民医院宜昌市第一人民医院, 湖北 宜昌 443000 |
The First People's Hospital of Yichang, Yichang 443000, Hubei, China |
tanhucheng@163.com |
| 苏维敏 |
SU Wei-min |
三峡大学人民医院宜昌市第一人民医院, 湖北 宜昌 443000 |
The First People's Hospital of Yichang, Yichang 443000, Hubei, China |
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| 周才胜 |
ZHOU Cai-sheng |
三峡大学人民医院宜昌市第一人民医院, 湖北 宜昌 443000 |
The First People's Hospital of Yichang, Yichang 443000, Hubei, China |
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| 期刊信息：《中国骨伤》2017年30卷，第3期，第261-263页 |
| DOI：10.3969/j.issn.1003-0034.2017.03.015 |
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目的：探讨使用外固定架联合单髋石膏治疗儿童股骨粗隆下骨折的疗效。
方法：2009年3月至2016年7月采用外固定架联合单髋石膏固定治疗的儿童股骨粗隆下骨折15例，男9例，女6例；年龄5～14 岁，平均8.5岁。根据Seinsheimer分类法分型：ⅡA型3例，ⅡB型4例，ⅡC型3例，ⅢA型2例，ⅢB型1例，Ⅳ型1例，V型1例。对患儿的放射学结果和并发症资料进行回顾性分析，采用Sanders评分标准对术后髋关节功能进行评价。
结果：15例术后均获得随访，随访时间16～48个月，平均32个月。所有病例骨性愈合，未发生固定物失效、骨骺早闭及股骨头坏死。髋关节功能按Sanders评分标准：优14例，良1例。无髋内翻、肢体短缩、过度生长等畸形。
结论：外固定架联合单髋石膏是一种可靠的方法，为儿童股骨粗隆下骨折的治疗提供了一种新的选择。 |
| [关键词]:股骨骨折 儿童 外固定器 髋 石膏，外科 |
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| Treatment of children with femoral subtrochanteric fractures by the external fixation combined with single hip plaster |
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Abstract:
Objective: To explore curative effects of external fixation combined with single hip plaster in treating children with femoral subtrochanteric fracture.
Methods: Form March 2009 to July 2016,15 children with femoral subtrochanteric fracture were treated with external fixation combined with single hip plaster,including 9 males and 6 females with a mean age of 8.5 years old ranging from 5 to 14 years old. According to fracture classification of Seinsheimer,3 cases were type ⅡA,4 cases were type ⅡB,3 cases were typeⅡC,2 cases were type ⅢA,1 case was type ⅢB,1 case was type Ⅳ，1 case was type V. Complications and radiographs were retrospectively reviewed. Postoperative function of hips were evaluated according to Sanders criteria.
Results: All children were followed up from 16 to 48 months with an average of 32 months. No early closure of epiphysis,bone nonunion and breakage of screw occurred. According to the Sanders score standard of hip function,the result was excellent in 14 cases,good in 1 case. There were no hip inversion,limb shortening,excessive growth and other malformations.
Conclusion: External fixation combined with single hip plaster for the treatment of children is a safe and effective fixation,which provide a new choice of femoral subtrochanteric fracture. |
| KEYWORDS:Femoral fractures Child External fixators Hip Casts, surgical |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 谭虎成,苏维敏,周才胜.外固定架联合单髋石膏治疗儿童股骨粗隆下骨折[J].中国骨伤,2017,30(3):261~263 |
| 英文格式: | TAN Hu-cheng,SU Wei-min,ZHOU Cai-sheng.Treatment of children with femoral subtrochanteric fractures by the external fixation combined with single hip plaster[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(3):261~263 |
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