可吸收固定棒治疗儿童髂骨撕脱性骨折

Absorbable stick in the treatment of children iliac ala avulsion fracture

目的系统评价可吸收固定棒治疗儿童髂骨翼撕脱性骨折的临床疗效。方法我们自2010年2月至2013年2月收治儿童髂骨翼撕脱性骨折患儿18例，采用有限小切口2-3枚可吸收棒内固定治疗，术后辅以单髋人字石膏固定，随访9-30个月，对骨折愈合情况、髋关节功能恢复情况、患部疼痛程度及局部切口并发症等进行回顾性分析。结果患儿均获得骨性愈合，功能评价按美国骨科协会（AAOS）的诊断标准，优良率在95％以上，术后无一例切口感染。结论可吸收棒是治疗儿童髂骨翼撕脱性骨折的理想治疗方法，尤其对于经常从事体育运动的儿童可获得较好的预后。

Objetive To evaluate the effects of the fixation of absorbable stick in treatment of iliac ala avulsion fracture in children.Methods 18 cases of the iliac ala avulsion fracture underwent absorbable stick fracture-fixation and cast immobilization in our institution from February,2010 to February,2013.The average follow-up was 10 months （from 9 to 30 months）.The clinical data include fracture healing,functional recovery and complications were retrospective analyzed.Results All fractures were union.Clinical results were graded using the criteria suggested by American Academy of Orthopaedic Surgeons（AAOS）.The good rate of all the cases was 97.2%.Found no infection of operative incision. Conclusion Absorbable Stick fixation is a safe and feasible method for the treatment of children iliac ala avulsion fracture.