Webb James A, Almaiyah Mohammed, McVie Jim, Montgomery Richard J
Department of Trauma and Orthopaedics, James Cook University Hospital, Middlesbrough, TS4 3BW, UK,
J Child Orthop. 2008 Dec;2(6):417-23. doi: 10.1007/s11832-008-0127-8. Epub 2008 Oct 2.
We investigated the clinical and radiological outcome of proximal femoral osteotomies in children using the Richards hip screw. We also describe previously unreported techniques used in the insertion of the screw to aid satisfactory correction of the neck shaft angle and medialisation.
Seventy-two children undergoing 81 proximal femoral osteotomies under the care of the senior author over a 10-year period were reviewed.
For the primary procedure, there was an overall complication rate of 5%. This included two (2.5%) cases requiring re-operation. There were no fractures and no long-term complications. For subsequent removal of the metalwork, the complication rate was 5%, with a re-operation rate of 1%.
We conclude that the Richards hip screw is a safe, atraumatic and easy-to-use method of fixation for proximal femoral osteotomies in children, with lower complication.
我们研究了使用理查兹髋螺钉对儿童股骨近端截骨术的临床和放射学结果。我们还描述了在螺钉插入过程中使用的先前未报道的技术，以帮助令人满意地矫正颈干角和内移。
回顾了在10年期间由资深作者负责治疗的72例接受81次股骨近端截骨术的儿童。
对于初次手术，总体并发症发生率为5%。这包括2例（2.5%）需要再次手术的病例。没有发生骨折，也没有长期并发症。对于随后的金属植入物取出，并发症发生率为5%，再次手术率为1%。
我们得出结论，理查兹髋螺钉是一种用于儿童股骨近端截骨术的安全、无创且易于使用的固定方法，并发症较少。
