Mazurek Tomasz, Lorczyński Adam, Ceynowa Marcin
Department of Orthopaedic Surgery, Medical University of Gdansk, Gdansk, Poland.
J Pediatr Orthop B. 2011 Sep;20(5):295-8. doi: 10.1097/BPB.0b013e3283467232.
A long-term follow-up of bilateral femoral neck fracture is presented. The patient sustained the injury in a road accident at the age of five. Both fractures were Delbet type III. Three days after the injury, open reduction and internal fixation were performed. A hip spica cast was applied for 8 weeks. Follow-up radiographs show uneventful healing, with no avascular necrosis of the femoral head. The initial shortening of the right proximal femur persisted. The left femur shows extensive remodeling of the femoral head toward valgus. The patient is painless and currently does some sports.
本文介绍了一例双侧股骨颈骨折的长期随访情况。该患者在五岁时因道路交通事故受伤。两处骨折均为Delbet III型。受伤三天后,进行了切开复位内固定术。应用髋人字石膏固定8周。随访X线片显示愈合顺利,股骨头无缺血性坏死。右股骨近端最初的短缩持续存在。左股骨显示股骨头向外翻有广泛的重塑。患者无痛,目前进行一些体育活动。