Casado-Salinas J M, Llamas-Elvira J M, Lorente-Moreno R, Nogales-Zafra J, Gala-Velasco M
Acta Orthop Belg. 1989;55(2):248-52.
In children, the association of traumatic luxation of the hip with homo- and heterolateral fracture of the upper extremity of both femurs, is extremely rare. In the case reported here, that association is present. Hip luxation can easily pass unrecognized. Orthopedic reduction is always recommended. Regarding the fracture of the upper portion of the femur in children under 10 years, when alignment of the fragments is not well achieved, surgical treatment should be considered. In this case, valgus osteotomy had to be performed in order to correct a post-traumatic coxa vara. After 4 1/2 years of follow up, the only sequel was a 1 cm leg-length discrepancy.
在儿童中,髋关节创伤性脱位与双侧股骨上端同侧和对侧骨折同时存在的情况极为罕见。在本文报道的病例中,存在这种关联。髋关节脱位很容易被漏诊。始终建议进行骨科复位。对于10岁以下儿童的股骨上端骨折,若骨折碎片对线不佳,应考虑手术治疗。在此病例中,为纠正创伤后髋内翻不得不进行外翻截骨术。经过4年半的随访,唯一的后遗症是双腿长度相差1厘米。