儿童股骨髁上骨折的治疗  

Management of supracondylar femur fractures in children

作　　者：张洪毅[1] 杨小进[1] 王小林[1] 何金鹏[1] 邵景范[1] 冯杰雄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北430030

出　　处：《安徽卫生职业技术学院学报》2016年第2期37-38,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的：回顾性分析儿童股骨髁上骨折的临床特点及治疗效果。方法：2010年11月-2014年12月，我科共收治13名儿童股骨髁上骨折。本研究回顾总结这13名患儿的临床特点及治疗效果。结果：本组患儿中男性6名，女性7名，年龄4-151个月，平均年龄为（51±41．2）个月。所有患儿随访1-4年，全部病例完全愈合，X线片显示患肢与对侧生长同步，无膝关节僵硬及骨骺早闭等并发症。患儿膝关节功能评分：优者7名，良者5名，差者1名。结论：儿童股骨髁上骨折较为少见，其治疗应根据骨折移位情况及骨折部位而定，治疗后随访结果满意。Objective：To retrospectively review the clinical eharactteristics and outcomes of the 13 consecutive supracondylar femur fractures treated at our department. Methods： Between 2010 and 2014, 13 supracondylar femur fractures were treated and had complete follow-ups until clinical and radiographic union. Their clinical data were retrospectively analyzed. Results： There are 6 boys and 7 girls, with a median age of 51 ±41.2 months （range, 4-151 months）. At late follow-up （range 1-4 years）, all patients reviewed had a satisfactory result. There was no growth plate arrest and no leg length discrepancy. Their knee functions were good in 7 patients, fair in 5 and poor in 1. Conclusions： Supracondylar femur fractures are uncommon in children. Proper management should be offered based on patients＇ age and fracture type.

关 键 词：儿童 骨折 股骨 髁上骨折 

分 类 号：R726.8[医药卫生—儿科]