Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.
Department of Orthopaedics and Traumatologic Surgery, AOU Policlinico-Vittorio Emanuele, University of Catania, Catania, Italy.
Injury. 2019 Jul;50 Suppl 2:S40-S44. doi: 10.1016/j.injury.2019.01.043. Epub 2019 Feb 2.
Femoral neck fractures are uncommon injuries in children, but the high incidence of long-term complications makes it important clinical entity. Early surgical treatment to achieve optimal results and to avoid a high rate of complications is widely advised. The purpose of this study was to retrospectively analyze the outcome of 8 children who sustained a femoral neck fracture.
The patients (6 boys and 2 girls with an average age of 9.2 years) were treated within 24 h following admission to hospital by closed reduction and internal fixation. The type of fracture was distinguished according to Delbet's classification system. The outcome was analyzed using Ratliff's criteria, and a detailed record of complications was maintained.
According Delbet's classification system, there were 3 type I, 2 type II, 2 type III, and 1 type IV fractures. The average follow-up was 39.2 months (range 8-95). A satisfactory outcome was obtained in 6 (75%) children. Avascular necrosis was the most notable complication, which was reported in the 2 fair outcomes (25%).
Early and aggressive surgical treatment aimed at anatomical reduction result in a satisfactory outcome in pediatric femur neck fractures. Development of avascular necrosis is the main complication.
儿童股骨颈骨折并不常见，但长期并发症发生率高，因此是一个重要的临床实体。广泛建议早期手术治疗以达到最佳效果并避免高并发症率。本研究的目的是回顾性分析 8 例股骨颈骨折患儿的治疗结果。
8 名患儿（6 名男孩和 2 名女孩，平均年龄 9.2 岁）在入院后 24 小时内接受了闭合复位内固定治疗。骨折类型根据 Delbet 分类系统进行区分。使用 Ratliff 标准分析结果，并详细记录并发症。
根据 Delbet 分类系统，有 3 型 I 型、2 型 II 型、2 型 III 型和 1 型 IV 型骨折。平均随访时间为 39.2 个月（8-95 个月）。6 名（75%）儿童获得了满意的结果。最明显的并发症是股骨头缺血性坏死，在 2 例（25%）一般结果中报告。
早期积极的手术治疗旨在实现解剖复位可使儿童股骨颈骨折获得满意的结果。股骨头缺血性坏死是主要并发症。
