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目的:探讨小儿股骨近端骨折78例的治疗方法以及康复经验。方法:总结我院2005年1月到2010年7月收治的78例小儿股骨近端骨折的临床资料,所有患儿均按照Colorma分型并对其实施不同的治疗及康复方法;随访观察患儿的骨折愈合情况及并发症发生情况。结果:所有患儿均愈合,ColormaI型共10例,其中有2例发生缺血性坏死;ColormaⅡ型30例,其中10例Pauwel角<40的患儿采取骨牵引进行治疗,20例Pauwel角>4的患儿骨牵引后采取手术进行治疗;其中有3例发生缺血性坏死。ColormaⅢ型、Ⅳ型共38例,对其中30例无移位的患儿采取皮牵引进行治疗,18例移位较重的患儿采取手术治疗;其中有2例发生缺血性坏死。结论:选择适当的治疗方法及康复指导,对于治疗儿童股骨近端骨折具有着重要意义,值得推广应用。
Objective: To explore the treatment of proximal femoral fractures in 78 cases and rehabilitation experience. Methods: The clinical data of 78 cases of proximal femoral fractures in our hospital from January 2005 to July 2010 were summarized. All children were treated according to Colorma classification and different treatments and rehabilitation methods were followed up. Children were followed up Fracture healing and complications. Results: All children were healed. There were 10 cases of ColormaI type, of which 2 cases had ischemic necrosis. Colorma Ⅱ type 30 cases, 10 cases of Pauwel angle <40 were treated by bone traction and 20 cases of Pauwel angle> 4 children underwent surgical treatment of bone traction; 3 of them developed ischemic necrosis. There were 38 cases of Colorma Ⅲ and Ⅳ, of which 30 cases were treated with skin traction without displacement, and 18 cases with severe displacement were operated on. Among them, 2 cases developed ischemic necrosis. Conclusion: Choosing the appropriate treatment and rehabilitation guidance is of great significance for the treatment of proximal femoral fractures in children, and is worth popularizing and applying.