早期切开复位与闭合复位治疗移位的儿童股骨颈骨折的疗效比较  

Comparison of the effect between early anatomical open reduction,internal fixation and closed reduction,internal fixation for treatment of children displaced femoral neck fracture

作　　者：林志红[1] 孙勇飞[1] 吴小山[1] 柳占元[1] 尹善青[2] 

机构地区：[1]丽水市中医院骨科 [2]温州医学院附属第二医院骨科,浙江温州325000

出　　处：《中国骨伤》2012年第7期546-548,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:比较早期切开复位与闭合复位内固定治疗移位的儿童股骨颈骨折的临床疗效。方法:2006年3月至2010年5月对收治的34例移位股骨颈骨折患儿进行回顾性分析,采用早期切开复位空心钉固定治疗19例(A组),男11例,女8例,年龄(8.1±1.3)岁;早期闭合复位内固定组15例(B组),男9例,女6例,年龄(7.9±1.5)岁。根据Ratliff评定标准比较两者术后疗效及并发症的差异。结果:所有患者获得随访,时间1～3年,平均1.2年。骨折均愈合,2组间的术后疗效差异有统计学意义(Z=2.389,P=0.017),2组术后并发症的发生差异也有统计学差异(P=0.046)。结论:早期切开复位内固定治疗移位的DelbetⅡ、Ⅲ型儿童股骨颈骨折比早期闭合复位内固定有较好的临床效果,并发症较少,早期切开复位内固定治疗移位的DelbetⅡ、Ⅲ型儿童股骨颈骨折是值得考虑的方法。Objective：To compared the effect between early anatomical open reduction,internal fixation （ORIF） and closed reduction,internal fixation （CRIF） for treatment of children displaced femoral neck fracture. Methods：From March 2006 to May 2010,34 children with displaced femoral neck fractures were reviewed retrospectively. These patients were divid- ed into two groups. Among them, 19 cases were treated by open reduction and internal fixation （ORIF） as group A, included 11 males and 8 females with an average age of （8.1±1.3） ,the other 15 cases were treated by closed reduction and internal fixation （CRIF） as group B ,included 9 males and 6 females with an average age of （7.9±1.5）. Complications were observed and the short term effectiveness was evaluated by Ratliff standard. Results：All children were followed-up from 1 to 3 years （means 1.2 years）. All fractures were healed. There was statistical different in the curative effects between the two groups （Z=2.389,P= 0.017）. The incidence of complications in two groups had statistical different （P=0.046）. Conclusion：The early ORIF could get better reduction with fewer complications than CRIF in fractures of the displaced femoral neck in children in Delbet type-II and type-III, therefore, ORIF should be considered.

关 键 词：股骨颈骨折 骨折固定术 内 儿童 

分 类 号：R684.7[医药卫生—骨科学]