儿童股骨颈骨折

The Femoral Neck Fracture in the Children

目的：为提高儿童股骨颈骨折疗效，分析其并发症产生的原因。方法：对１３ 例儿童股骨颈骨折中无移位者采用髋人字石膏固定，有移位者牵引手法闭合复位后采用经皮克氏针内固定术。结果：经最短８ 个月、最长１２ 年的随访，骨折无移位者无并发症，骨折有移位者股骨头缺血性坏死１ 例，髋内翻２ 例，颈短缩畸形１ 例。结论：儿童股骨颈骨折少见，但并发症发生率高，及早诊断和正确治疗尤显得重要。采用经皮克氏针内固定治疗儿童股骨颈骨折有操作较简便、损伤小、内固定稳固等优点，值得推广应用。

Objective: To improve the outcome the femoral neck fracture(FNF) in children,and analys the cause of the complicatisns. Method: 13 Cases of the (FNF) without displacement needed plaster fixation;fracture withdisp lacement needed hand close reduction and Kischner's wire internal fixation.Result:All cases were followed up for 8 months～12 years.The fracture without displacement had nocomplications. Frature with displacement 1 cases complicated vascular necrosis of femoral head.2 cases femur complicated with coxa vara,1 case complicated with short femur.Conclusion:The (FNF) in the children is seldon.But complication is high.Internal fixation for the FNF in the children is simple,less harmful and reliable.It is worth to popularize.