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[目的]探讨儿童不稳定性股骨粗隆部骨折的内固定方法及其疗效。[方法]2000年5月~2013年7月,采用成人肱骨近端外侧锁定板内固定治疗12例儿童不稳定性股骨粗隆部骨折患者。男8例,女4例;年龄:4~14岁,平均(9.8±3.0)岁。[结果]12例患者术后随访2~10年,平均(6.1±2.5)年。所有患者均于3个月内获得骨性愈合,无髋内外翻、股骨头缺血性坏死及股骨头骨骺滑脱等并发症发生。末次随访时髋关节Harris评分平均(89.6±4.5)分,优7例,良5例。[结论]成人肱骨近端外侧锁定板是治疗儿童粗隆部骨折理想的内固定器,具有内固定稳定,操作简单,创伤小,不损伤骨骺等优点,可早期行功能锻炼,并发症少。
[Objective] To explore the method of internal fixation of femoral intertrochanteric fracture in children and its curative effect. [Methods] From May 2000 to July 2013, 12 cases of unstable femoral intertrochanteric fractures were treated with adult proximal humerus lateral locking plate fixation. 8 males and 4 females; age: 4 ~ 14 years old, mean (9.8 ± 3.0) years old. [Results] Twelve patients were followed up for 2 to 10 years with an average of (6.1 ± 2.5) years. All patients received bony union within 3 months without complications such as hip and valgus avascular necrosis and femoral epiphysis. At the last follow-up, the Harris hip score averaged (89.6 ± 4.5) points, excellent in 7 cases and good in 5 cases. [Conclusion] Adult proximal humeral lateral locking plate is an ideal internal fixation device for the treatment of tuberosity fracture in children. It has the advantages of stable internal fixation, simple operation, small trauma and no injury to the epiphyseal. It can be used for early functional exercise with few complications.