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目的 观察儿童股骨颈骨折的远期疗效。方法 儿童股骨颈骨折 9例 ,采用切开复位斯氏针或螺纹钉内固定治疗 ～ 型骨折 6例 ,骨牵引及石膏外固定治疗 型骨折 3例。结果 随访 2年至 11年 3个月 ,平均 5 .5年 ,疗效满意。除 1例经骺骨折 ( 型 )发生轻度股骨头缺血性坏死和骨骺早闭 ,1例粗隆间骨折 ( 型 )发生髋内翻外 ,其余患儿髋关节功能及日常生活无明显受限。结论 切开复位内固定治疗 ～ 型骨折 ,骨牵引及石膏外固定治疗 型骨折是儿童股骨颈骨折的有效治疗方法之一 , 型骨折疗效欠佳 ,尚需进一步探索。
Objective To observe the long-term effect of femoral neck fracture in children. Methods Nine children with femoral neck fractures were treated with open reduction and internal fixation with Stainer’s needle or screw thread in the treatment of 6 fractures and 3 cases of bone traction and plaster external fixation. The results were followed up for 2 years to 11 years for 3 months, an average of 5.5 years, with satisfactory results. In addition to a case of epiphyseal fractures (type) occurred mild avascular necrosis and epiphyseal early closure, 1 case of intertrochanteric fractures (type) of the hip varus, the rest of the children with no significant difference in hip function and daily life limit. Conclusion Open reduction and internal fixation for the treatment of type fractures, traction and gypsum external fixation fractures is an effective treatment for children with femoral neck fractures, fractures ineffective, still needs further exploration.