Norouzi Masoud, Naderi Mohamad N
Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Niyayesh St., Sattarkhan Ave., Tehran, Islamic Republic of Iran.
Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Tehran, Islamic Republic of Iran.
Eur J Trauma Emerg Surg. 2009 Apr;35(2):124-6. doi: 10.1007/s00068-008-6159-4. Epub 2008 Oct 9.
We studied 20 fractures of the neck of femur in 19 patients under the age of 16 years that were treated in the period from 1998 to 2004. There were nine boys and ten girls with an average age of 11 years. There was one case of Delbet type I (transepiphyseal separation). Thirteen cases were of Delbet type II (transcervical) fractures, four cases were of type III (cervicotrochanteric), and two patients had old fractures (one Delbet type II and one type III). Fourteen fractures were displaced. In our study group, 11 patients were treated surgically by internal fixation while the remaining were treated conservatively by traction followed by hip spica cast application. Mean follow-up was 24 months (range 1-5 years). Avascular necrosis occurred in nine cases (45%). Other complications included coxa vara in two, nonunion in two, postoperative infection in one, and refracture in one. The amount of displacement of the fracture and the quality of reduction and fixation influenced the occurrence of complications such as avascular necrosis and nonunion.
我们研究了1998年至2004年期间接受治疗的19例16岁以下患者的20例股骨颈骨折。其中有9名男孩和10名女孩，平均年龄为11岁。有1例Delbet I型（骨骺分离）。13例为Delbet II型（经颈）骨折，4例为III型（颈转子间）骨折，2例患者为陈旧性骨折（1例Delbet II型和1例III型）。14处骨折发生移位。在我们的研究组中，11例患者接受了内固定手术治疗，其余患者通过牵引然后应用髋人字石膏进行保守治疗。平均随访时间为24个月（范围1至5年）。9例（45%）发生了股骨头缺血性坏死。其他并发症包括2例髋内翻、2例骨不连、1例术后感染和1例再骨折。骨折的移位程度以及复位和固定的质量影响了股骨头缺血性坏死和骨不连等并发症的发生。
