经皮克氏针内固定治疗儿童股骨颈骨折  

Application of Percutaneous Kirschner wire in the Internal Fixation of Pediatric Femoral Neck Fracture

作　　者：丁建华 陈德超 杨双石[2] 曹海泉[2] 

机构地区：[1]湖南安乡县人民医院,安乡415600 [2]解放军188医院,潮州521000

出　　处：《中国现代手术学杂志》2006年第2期136-137,共2页Chinese Journal of Modern Operative Surgery

摘　　要：目的 探讨经皮克氏针内固定治疗儿童股骨颈骨折的效果。方法 对36例儿童股骨颈骨折患者，常规行皮肤牵引或皮套牵引3-5d，经C臂X光机监视下确认复位后，于大粗隆顶点下经皮向股骨头方向穿入3-4枚1．8-2．0mm克氏针。术后穿“丁”字鞋，行患肢主、被动功能锻炼。结果 本组均获随访，平均10（6～24）个月，均于8～12周内骨性愈合。1例eolonna Ⅰ型股骨头骨骺分离者出现股骨头缺血性坏死，经非负重下保守治疗6月后恢复正常，余35例恢复正常行走，髋关节活动正常。结论 采用经皮克氏针内固定治疗儿童股骨颈骨折，创伤小，效果满意，术前适当牵引，术后满意复位，掌握适当的进针角度和深度以及外固定时间，有助于减少并发症发生。Objective To investigate the therapeutic effect of percutaneous Kirschner wire in the internal fixation of pediatric femoral neck fracture. Method 36 pediatric cases underwent surgery after skin traction for 3 to 5 days. 3 to 4 Kirschner wires with 1.8 to 2.0 mm in diameter were percutaneous introduced just below big tuberosity point after the location was confirmed by X-ray. Actively and passively functional excise were carried out postoperatively. Result All fracture unioned within 8 to 12 weeks according to 6 to 24 months follow-up. 1 case of colonna I type femoral neck fracture with epiphysis separation developed avascular necrosis and was cured conservatively. The rest cases cured. Conclusion The Kirschner wire internal fixation is effective for pediatric femoral neck fracture.

关 键 词：股骨颈骨折 骨折固定术 内 骨钉 儿童 

分 类 号：R726.8[医药卫生—儿科]