摘要
目的探讨低切迹多向锁定钢板系统固定治疗学龄前儿童股骨转子下骨折的疗效。方法回顾性分析2012年1月至2014年11月期间收治的9例学龄前儿童股骨转子下骨折患者资料。男6例，女3例；平均年龄为4．8岁（4～6岁）；骨折按Seinsheimer分型：Ⅱb型5例，ⅡC型2例，ⅢA型2例。受伤至手术时间平均为3d（2—5d）。9例患儿均采用切开复位3．5mm低切迹多向锁定钢板系统固定治疗。结果所有患儿伤口愈合良好，无感染发生，均于术后12d内拆线。9例患儿术后获平均16个月（8～26个月）随访。9例患儿骨折均在术后3个月内愈合；随访期间无一例患儿出现钢板、螺钉松动、同部位再次骨折等并发症。根据Beaty影像学标准评定早期疗效：9例患儿均为满意。末次随访时所有患儿完全负重后经锻炼适应，步态基本正常；髋关节活动度、肌力与健侧基本一致，基本恢复到伤前状态。末次随访时根据Sanders评分标准评定患髋功能：优7例，良2例。结论低切迹多向锁定钢板系统固定治疗学龄前儿童股骨转子下骨折疗效良好。
Objective To explore the clinical effects of variable angle locking plate （VLP） in the treatment of pediatric subtrochanteric femoral fractures. Methods Between January 2012 and November 2014, 9 pre-school children were treated at our department for subtrochanteric femoral fractures. They were 6 boys and 3 girls, with an average age of 4. 8 years （from 4 to 6 years）. By the Seinsheimer classification, 5 cases were of type liB and 2 of type ⅡC and 2 of type ⅢA. The intervals between injury and surgery averaged 3 days （from 2 to 5 days）. All of them were treated with open reduction and VLP internal fixation. Results All the wounds healed well without any infection. All the stitches were removed within 12 days. They were followed up for 8 to 26 months （average, 16 months）. All the fractures united within 3 months after operation. Follow-ups revealed no plate or screw loosening, or refracture at the same site. According to the Beaty imaging criteria, the early outcomes were all satisfactory. At the final follow-ups, all the children gained normal gait after full-weight rehabilitation. The affected and normal hips are nearly identical in range of motion and muscle strength. All the children recovered their pre-injury status. By the Sanders scoring for function of the affected hip, 7 cases were rated as excellent and 2 as good. Conclusion VLP can be an effective option for treatment of subtrochanteric femoral fractures in preschool children patients.
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2017年第8期691-695,共5页
Chinese Journal of Orthopaedic Trauma
关键词
股骨骨折
骨折固定术
内
骨板
儿童
Femoral fractures
Fracture fixation, internal
Bone plates
Children
