中国骨伤2012，Vol.25Issue(7)：546-548,3.DOI:10.3969/j.issn.1003-0034.2012.07.004
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
林志红 1孙勇飞 1吴小山 1柳占元 1尹善青2
作者信息
- 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
- 折叠
摘要
Abstract
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 divided into two groups. Amongthem, 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 I 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-Ill, therefore, ORIF should be considered.关键词
股骨颈骨折/骨折固定术,内/儿童Key words
Femoral neck fractures/Fracture fixation,internal/Child引用本文复制引用
林志红,孙勇飞,吴小山,柳占元,尹善青..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[J].中国骨伤,2012,25(7):546-548,3.
