Beaty James H
Department of Orthopaedic Surgery, Campbell Clinics, University of Tennessee, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
Orthop Clin North Am. 2006 Apr;37(2):223-32, vii. doi: 10.1016/j.ocl.2005.11.003.
Fractures of the hip are uncommon in children, and their importance is related not to the frequency of the injury but to the frequency of complications. Many of these complications can be minimized or avoided by anatomic reduction and internal fixation. Open reduction frequently is necessary to obtain a stable, anatomic reduction. Regardless of the age of the child, stable fixation of the fracture must be given priority over preservation of the proximal femoral physis. The development of osteonecrosis, however, is most likely related to the severity of the initial injury and is largely unaffected by treatment of the fracture.
儿童髋部骨折并不常见，其重要性并非与损伤的频率相关，而是与并发症的发生率有关。通过解剖复位和内固定，许多此类并发症可以降至最低或避免。为获得稳定的解剖复位，通常需要切开复位。无论儿童年龄大小，骨折的稳定固定都必须优先于保留股骨近端骨骺。然而，骨坏死的发生很可能与初始损伤的严重程度有关，并且在很大程度上不受骨折治疗的影响。
