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目的探讨儿童不稳定性股骨转子部骨折的治疗方法和疗效。方法1998年6月～2005年6月采用肱骨颈型钢板内固定治疗9例儿童不稳定性股骨转子部骨折患者,其中转子间骨折2例,转子下骨折7例。结果9例患者术后获0．5～7．0年(平均3．6年)随访。所有患者均于11周内获骨性愈合。股骨无髋内外翻、股骨头缺血性坏死及股骨头骺滑脱等并发症发生。所有患者髋关节活动范围均恢复至正常范围。结论肱骨颈型钢板内固定治疗儿童转子部骨折方法简单,固定准确、稳定,不损伤骨骺,可尽早行功能锻炼,愈合快,并发症少。
Objective To investigate the treatment and treatment of unstable femoral trochanteric fractures in children. Methods From June 1998 to June 2005, 9 cases of unstable femoral trochanter fractures were treated with humerus neck plate fixation in 2 cases, including 2 cases of intertrochanteric fractures and 7 cases of subtrochanteric fractures. Results Nine patients were followed up from 0.5 to 7.0 years (average 3.6 years). All patients received bony union within 11 weeks. Femoral non-hip valgus, avascular necrosis of the femoral head and epiphysis and other complications occurred. All patients with hip activity range were restored to normal range. Conclusion The method of humeral neck internal fixation for the treatment of rotator fracture in children is simple, accurate and stable, without damaging the epiphyseal. Functional exercises can be performed as soon as possible, and there are few complications.