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目的探讨成人胫骨远端内侧解剖钢板在儿童股骨上段骨折治疗中的应用价值。方法收治儿童股骨上段骨折21例,施行有限切开复位,应用成人胫骨远端内侧解剖钢板内固定术。结果 21例均获得随访,按Harris髋部功能评定标准:优15例,良4例,可2例,优良率90.5%。结论成人胫骨远端内侧解剖钢板在儿童股骨上段不稳定性骨折中的临床应用表明,当无法应用弹性髓内钉及儿童股骨近端角钢板时,该方法是一种可供选择的良好治疗途径。
Objective To investigate the value of medial anatomical plate of adult distal tibia in the treatment of upper femoral fractures in children. Methods Twenty-one children with upper femur fractures were treated with limited open reduction and internal fixation of the medial distal tibia. Results All 21 patients were followed up. According to the criteria of Harris hip function, 15 were excellent, 4 were good and 2 were fair. The excellent and good rate was 90.5%. Conclusion The clinical application of the medial anatomical plate of the distal tibia in adults with unstable fractures in the upper femur of children shows that this method is an alternative and good treatment method when the elastic nail and the proximal femoral angle plate can not be used .