外翻截骨治疗儿童Pauwels III型延迟就诊股骨颈骨折3例
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1.山东大学附属省立医院;2.山东大学附属省立医院小儿骨科

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Valgus osteotomy for delayed Pauwels type III femoral neck fracture in children
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1.Shandong Provincial Hospital Affiliated to Shandong University;2.Department of Pediatric Orthopedics, Shandong Provincial Hospital Cheeloo College of Medicine, Shandong University

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    摘要:

    目的:外翻截骨治疗儿童延迟就诊股骨颈骨折疗效分析。 方法:对我院自2016年至今治疗的3例Pauwels III型延迟就诊的股骨颈骨折患儿进行回顾性研究,收集患儿一般情况,术前及术后影像学资料。手术方式均为转子下外翻截骨、 LCP-PHP固定,术后骨盆正位片评价骨折愈合情况,髋关节Harris评分评价髋关节功能。 结果:男性1例,女性2例,平均年龄12岁,受伤原因为车祸及自行车摔伤,受伤平均时间为70天,下肢平均短缩1.3cm,术前平均Pauwels角为82.3°,术后随访20-23个月,平均随访21.6个月,随访骨盆X线示骨折愈合良好。髋关节Harris评分平均为89分,髋关节功能良好。 结论:转子下外翻截骨是治疗延迟就诊股骨颈骨折的一种有效的治疗方式。

    Abstract:

    Purpose: To investigate the efficacy of valgus osteotomy for the treatment of delayed femoral neck fractures in children with Pauwels III. Methods:A retrospective study of 3 patients with Pauwels III delayed treatment of femoral neck fractures treated in our hospital from 2016 to the present, the general data of the children, preoperative and postoperative imaging data were collected. All the surgical methods were undergoing valgus osteotomy, LCP-PHP fixation, postoperative pelvic AP film to evaluate fracture healing, and hip Harris score to evaluate hip function. Results:There were 1 males and 2 female, with an average age of 12 years old. The cause of the injury was car accident and bicycle fall. The average time of injury was70 days, the average length of lower limbs discrepancy was 1.3cm, and the average preoperative Pauwels angle was 82.3°, and the follow-up was 20-23 months. The average follow-up was 21.6 months. The pelvic X-ray showed good fracture healing. The hip Harris score averaged 89 points and the hip function was good. Conclusion: The valgus osteotomy is a kind of treatment worth recommending for the treatment of delay femoral neck fracture.

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  • 收稿日期:2021-04-14
  • 最后修改日期:2021-04-14
  • 录用日期:2022-03-09
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