儿童股骨颈后内侧柱粉碎性骨折的诊疗进展  

Progress in diagnosis and treatment of pediatric femoral neck fracture with a comminuted posteromedial column

作　　者：汪文涛 陈顺有[2] Wang Wentao;Chen Shunyou(Scientific Research Center,The Seventh Affiliated Hospital,Sun Yat-sen University,Shenzhen 518107,China;Department of Pediatric Orthopaedics,The Second Hospital of Fuzhou,Fuzhou 350007,China)

机构地区：[1]中山大学附属第七医院科研中心,深圳518107 [2]福州市第二医院小儿骨科,福州350007

出　　处：《中华创伤骨科杂志》2023年第6期549-552,共4页Chinese Journal of Orthopaedic Trauma

基　　金：福建省创伤骨科急救与康复临床医学研究中心项目(2020Y2014);福建省临床重点专科(20220104)。

摘　　要：与儿童股骨颈骨折Delbet-Colonna分型描述的骨折类型相比,股骨颈后内侧柱粉碎性骨折的部位较特殊,治疗更棘手,术后股骨头坏死、髋内翻畸形和骨折延迟愈合等并发症发生率更高。本文结合近年来儿童股骨颈后内侧柱粉碎性骨折的研究进展,从股骨颈后内侧柱的解剖结构和功能、此类骨折的特殊性、治疗及并发症规避等方面进行综述,旨在引起同行对此类未囊括于Delbet-Colonna分型的特殊儿童股骨颈骨折的重视。Compared with the pediatric femoral neck fracture described by the Delbet-Colonna classification,femoral neck fracture with a comminuted posteromedial column is characterized by a more special fracture location.Therefore,it is more difficult to deal with,leading to higher incidences of avascular necrosis of femoral head,coxa vara deformity,and delayed union postoperatively.This paper reviews recent progress in diagnosis and treatment of this specific kind of fracture in the aspects of anatomy and function of the posteromedial column of the femoral neck,and special features,surgical treatment and complication avoidance concerning this fracture,hoping to arouse interest from pediatric surgeons in this specific fracture which has not been described by the Delbet-Colonna classification.

关 键 词：股骨颈骨折 骨折 粉粹性 儿童 

分 类 号：R726.8[医药卫生—儿科]