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目的观察采用空心钉固定治疗小儿股骨颈骨折的临床疗效。方法自2001年以来采用C型臂引导下原位或切开复位空心钉固定治疗小儿股骨颈骨折13例,均为经颈和基底部骨折,其中男7例,女6例,年龄7~14岁。单纯采用空心钉固定7例,空心钉加克式针固定5例,髂骨大块植骨双空心钉固定治疗病理性股骨颈骨折1例。单纯空心钉固定最多为2枚,空心钉加克式针固定者则采用空心钉一枚加2根克式针固定。术后单髋人位石膏固定8~12周,拆石膏后每3个月复查一次。随访年限10个月~4年。结果13例骨折愈合良好,但有1例发生股骨头坏死。结论空心钉固定治疗小儿股骨颈骨折操作方法简单、有效、损伤小、并发症少。
Objective To observe the clinical effect of cannulated screw fixation on pediatric femoral neck fracture. Methods Thirteen cases of pediatric femoral neck fracture were treated with C-arm guided or open reduction hollow screw fixation since 2001. All of them were trans-cervical and basilar fracture, including 7 males and 6 females, aged 7-14 year old. Seven cases were treated with cannulated screws, five cases were treated with cannulated screws and staples, and two cases were treated with iliac bone grafting and double cannulated screws to treat pathological femoral neck fractures. Simple hollow nails fixed up to 2, hollow nails plus g nail fixed hollow nails plus one plus 2 grams of needle fixed. Postoperative single hip solid gypsum fixed for 8 to 12 weeks, review the gypsum every 3 months. Follow-up period of 10 months to 4 years. Results 13 cases of fracture healing well, but 1 case of avascular necrosis. Conclusion Hollow nail fixation for the treatment of pediatric femoral neck fracture is simple, effective, less damage and less complications.