Forlin E, Guille J T, Kumar S J, Rhee K J
Alfred I. duPont Institute, Wilmington, Delaware 19899.
J Pediatr Orthop. 1992 Jul-Aug;12(4):503-9. doi: 10.1097/01241398-199207000-00017.
We reviewed 16 children with 16 displaced fractures of the femoral neck associated with complications. One was a transepiphyseal fracture, 12 were transcervical fractures, and three were basocervical fractures. The mean age at time of fracture was 11 years 7 months (range, 4 years 6 months to 16 years), and the mean length of follow-up after fracture was 6 years 11 months (range, 2-24 years). Complications in this series were avascular necrosis (AVN) (14 patients), nonunion (seven patients), premature physeal closure (15 patients), chondrolysis (seven patients), and coxa vara (two patients). Avascular necrosis, nonunion, and chondrolysis were associated with a poor outcome. Coxa vara or premature physeal closure alone was not responsible for a poor result.
我们回顾了16例患有16处伴有并发症的股骨颈移位骨折的儿童病例。1例为经骨骺骨折，12例为经颈骨折，3例为基底颈骨折。骨折时的平均年龄为11岁7个月（范围为4岁6个月至16岁），骨折后的平均随访时间为6年11个月（范围为2至24年）。该系列病例中的并发症包括股骨头缺血性坏死（AVN）（14例患者）、骨不连（7例患者）、骨骺过早闭合（15例患者）、关节溶解（7例患者）和髋内翻（2例患者）。股骨头缺血性坏死、骨不连和关节溶解与预后不良相关。单独的髋内翻或骨骺过早闭合并非导致不良结果的原因。
