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少儿期股骨颈骨折临床上比较少见。我院自1976年以来,共收治少儿股骨颈骨折14例,年龄最小7周岁,最大14周岁,以颈中型和基底型为多见。它与成人股骨颈骨折不同,容易引起股骨颈缩短,髋内翻,骨骺早闭等后遗症。本组病侧全部跟踪随访,未见发生股骨头缺血性坏死者。作者认为凡是移位性少儿股骨颈骨折,先行皮肤牵引3—5日后,在X线监控下手法复位,钢针经皮穿针内固定,效果良好。只要复位好,骨折端对位好,内固定可靠,可以不加外固定,否则应作单腿石膏裤外固定。
Femoral neck fracture in children is relatively rare clinical. In our hospital since 1976, a total of 14 cases of children with femoral neck fractures, the youngest 7 years old, maximum 14 years old, with neck and basal type is more common. It is different from the adult femoral neck fracture, easily lead to femoral neck shortening, varus, epiphyseal early closure and other sequelae. All patients were followed up in this group of patients, no avascular necrosis occurred. The authors believe that all translocation of femoral neck fracture of children, the first skin traction 3-5 days after the reduction in the X-ray monitoring method, the needle through the percutaneous needle fixation, the effect is good. As long as the reset is good, the fracture side of the position is good, reliable fixation, you can not add external fixation, or should be made of external fixation plaster pants.