儿童股骨颈骨折的特点与治疗  

Characteristics and treatment of femoral neck fracture in children

作　　者：王胜楠[1] 杨运平[1] 胡稷杰[1] 王钢[1] 余斌[1] Wang Shengnan;Yang Yunping;Hu Jijie;Wang Gang;Yu Bin(Division of Orthopaedics and Traumatology,Department of Orthopaedics,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院骨科-创伤骨科,广州510515

出　　处：《中华创伤骨科杂志》2021年第7期641-644,共4页Chinese Journal of Orthopaedic Trauma

基　　金：广东省自然科学基金(2018A030313806);国家自然科学基金(82001478)。

摘　　要：儿童股骨颈骨折一般由高能量创伤引起,是一种相对少见的损伤,因其骨骼不成熟,股骨近端解剖学和血液供应不同于成人患者,有其特征。目前对于治疗儿童股骨颈骨折有多种治疗方法,但是总体目标是解剖复位和稳定固定。儿童股骨颈骨折尽管经过适当的治疗,但并发症的发生率仍较高(如股骨头坏死、骨骺早闭、髋内翻和骨不连)。本文对儿童股骨颈的解剖特点、治疗方法和并发症等相关问题进展进行了综述。Femoral neck fracture in children is usually caused by high-energy trauma.This relatively rare injury characterized by skeletal immaturity is different from that in adult patients in proximal femoral anatomy and blood supply.Currently,a variety of fixation methods have been used for paediatric femoral neck fractures but their overall goal is anatomical reduction and stable fixation.Femoral neck fractures in children are usually associated with a high incidence of complications(e.g.femoral head necrosis,premature epiphyseal closure,coxa vara and nonunion)even after appropriate treatment.This review addresses the anatomic characteristics,treatment strategies and complications in the treatment of paediatric femoral neck fractures.

关 键 词：儿童 股骨颈骨折 股骨头缺血性坏死 治疗 骨折固定术 

分 类 号：R726.8[医药卫生—儿科]